Individual provider · Type 1 NPI

Matthew Richard Olson, DDS

General Practice Dentistry · Portage, WI

NPI number 1083642052 Active

About NPI 1083642052

Matthew Richard Olson, DDS's National Provider Identifier is 1083642052, issued on Jun 29, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portage, WI. The record was last updated on Jul 8, 2007.