Brant N Olson, D.D.S.,P.A. Valid NPI
Individual provider · General Practice Dentistry · Idaho Falls, ID
- NPI
- 1285653071
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- D3386 (ID)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-07-19
- Last updated
- 2007-07-08
Practice location
250 S Skyline Dr, Suite 5
Idaho Falls, ID 83402-3292
(208) 522-9101