Robert S Olson, DDS MS Valid NPI
Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · O Fallon, MO
- NPI
- 1891869988
- Type
- Individual (Type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223X0400X
- License number
- 11995 (MO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-11-20
- Last updated
- 2007-07-08
Practice location
103 Ofallon Commons Dr
O Fallon, MO 63368-7931
(636) 978-9585