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Contact Information

BLAKE J OLSON, DDS
101 WESTCOAST RD.
REDWAY, CA95560
 Phone: 707-923-4313
 Fax: 707-923-2590
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for BLAKE J OLSON · (Male)

NPI Number 1023290301
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 11/29/2007
Last updated 11/29/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 56610
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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