person
Mr. Clinton Jerrod Olson, LD
Denturist in Clarkston, Washington
NPI 1538625561

Clinton Jerrod Olson is a Denturist based in Clarkston, WA. Clinton Jerrod Olson practices in Clarkston, WA and has the professional credentials of LD. The NPI Number for Clinton Jerrod Olson is 1538625561 and holds a License No. DN00000046 (Washington).

The current practice location address for Clinton Jerrod Olson is 1346 12Th St, Clarkston, WA and can be reached out via phone at 509-758-7805 and via fax at 509-751-1510.

Location: 1346 12Th St, Clarkston, WA, 99403
person
Provider Profile Details
NPI Number
1538625561
Provider Name
Clinton Jerrod Olson
Credential
LD
Provider Entity Type
Individual
Gender
Male
Address
1346 12Th St, Clarkston, WA, 99403
Phone Number
509-758-7805
Fax Number
509-751-1510
Provider Enumeration Date
02/14/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1346 12Th St
City
State
Zip
99403
Phone Number
509-758-7805
Fax Number
509-751-1510
person
Provider Business Mailing Address Details
Address
1346 12Th St
City
State
Zip
99403
Phone Number
509-758-7805
Fax Number
509-751-1510
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
License No.
DN00000046 (Washington)
Definition
Definition to come.
semi-verified symbol
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