Organization · Type 2 NPI
Mitchell Olson, DDS PA
Dental Clinic/Center · Bloomington, MN
NPI number
1114050432
Active
Practice location
8400 Lyndale Ave S Ste 8
Bloomington, MN 55420-2790
Fax (952) 884-3445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1114050432
Mitchell Olson, DDS PA's National Provider Identifier is 1114050432, issued on Mar 14, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Bloomington, MN. The record was last updated on Aug 22, 2020.