| Olson Dental Group, Pllc | |
|
6801 Nw 39th Expy Suite A Bethany OK 73008-2501 | |
| (405) 787-1946 | |
| Not Available |
| Full Name | Olson Dental Group, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 6801 Nw 39th Expy, Bethany, Oklahoma |
| Authorized Official Name and Position | Matthew Hale (AUTHORIZED REPRESENTATIVE) |
| Authorized Official Contact | 2147020721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olson Dental Group, Pllc 2711 Lbj Fwy Suite 122 Dallas TX 75234-7315 Ph: () - | Olson Dental Group, Pllc 6801 Nw 39th Expy Suite A Bethany OK 73008-2501 Ph: (405) 787-1946 |
| NPI Number | 1225570013 |
|---|---|
| Provider Enumeration Date | 11/09/2016 |
| Last Update Date | 11/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225570013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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