Whalio Doctors

NPI 1184912263

Brock L Olson, DMD

Practitioner General Practice Dentistry Riverton, WY

Practice location

Address
621 N 8th St W, Riverton, WY 82501-3318
Phone
(307) 856-9725
Fax
(307) 856-7075

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 1284 (WY)

Registry record

NPI
1184912263
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Jul 2011
Record last updated
11 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.