Individual provider · Type 1 NPI

Edward Lawrence Olson, DDS

Prosthodontics · St. Cloud, MN

NPI number 1417092016 Active

Practice location

816 W St Germain St, Suite 502
St. Cloud, MN 56301

Fax (320) 255-0033

Specialties and licenses

TaxonomyCodeLicense
Prosthodontics Primary 1223P0700XMN7908 (MN)

Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

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About NPI 1417092016

Edward Lawrence Olson, DDS's National Provider Identifier is 1417092016, issued on Feb 21, 2007. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in St. Cloud, MN. The record was last updated on Jul 8, 2007.