Olson, Travis Lee

Olson, Travis Lee is an sole proprietor health care provider with primary practice located at 1205 16Th Ave S , Fargo ND 58103-4162. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Olson, Travis Lee can be contacted via phone (701) 293-6999.

Contact Information

Primary practice address
1205 16Th Ave S Fargo ND 58103-4162
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2032 North Dakota

Profile Details

NPI number 1215108246
LBN Legal business name Olson, Travis Lee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2008
Last updated Jul 14th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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