Ross G Olness, D.D.S. Valid NPI

Individual provider · Dentist · Willmar, MN

NPI

1659579043

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

D12383 (MN)

Sex

Male

Sole proprietor

No

Enumerated

2007-07-06

Last updated

2007-08-02