person
Dr. Blake Jerome Olson, DDS
General Practice Dentistry in Redway, California
NPI 1023290301

Blake Jerome Olson is a General Practice Dentistry based in Redway, CA and is specialized in General Practice. Blake Jerome Olson practices in Redway, CA and has the professional credentials of DDS. The NPI Number for Blake Jerome Olson is 1023290301 and holds a License No. 56610 (California).

The current practice location address for Blake Jerome Olson is 101 Westcoast Rd., Redway, CA and can be reached out via phone at 707-923-4313 and via fax at 707-923-2590.

Location: 101 Westcoast Rd., Redway, CA, 95560
person
Provider Profile Details
NPI Number
1023290301
Provider Name
Blake Jerome Olson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
101 Westcoast Rd., Redway, CA, 95560
Phone Number
707-923-4313
Fax Number
707-923-2590
Provider Enumeration Date
11/29/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
101 Westcoast Rd.
City
State
Zip
95560
Phone Number
707-923-4313
Fax Number
707-923-2590
person
Provider Business Mailing Address Details
Address
101 Westcoast Rd.
City
State
Zip
95560
Phone Number
707-923-4313
Fax Number
707-923-2590
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
56610 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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