DR. MARK OLSEN, D.D.S.
Dentist - Pediatric Dentistry
Active
Individual
NPI: 1780816652
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | No | 7371240-9921 (UT) |
| Dentist - Pediatric Dentistry | 1223P0221X | Yes | D-5015-PD (ID) |
Frequently Asked Questions
NPI 1780816652 is the National Provider Identifier for DR. MARK OLSEN, D.D.S., a Dentist - Pediatric Dentistry provider located in Star, ID. This NPI was enumerated on August 11, 2009.
DR. MARK OLSEN, D.D.S. practices at 12192 EVELY PINES LN, Star, ID 83669.
Quick Facts
- NPI
- 1780816652
- Type
- Individual
- Enumerated
- Aug 11, 2009
- Last Updated
- Feb 20, 2020
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