Brian F. Olsen, Dds, Pllc | |
East Hwy 262 Montezuma Creek UT 84534 | |
(435) 485-0121 | |
(866) 275-2831 |
Full Name | Brian F. Olsen, Dds, Pllc |
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Speciality | Dentist - General Practice |
Location | East Hwy 262, Montezuma Creek, Utah |
Authorized Official Name and Position | Brian F Olsen (OWNER) |
Authorized Official Contact | 3038707221 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brian F. Olsen, Dds, Pllc P.o. Box 130 Cortez CO 81321 Ph: (435) 485-0121 | Brian F. Olsen, Dds, Pllc East Hwy 262 Montezuma Creek UT 84534 Ph: (435) 485-0121 |
NPI Number | 1396097143 |
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Provider Enumeration Date | 10/03/2012 |
Last Update Date | 10/03/2012 |
Identifier | Type | State | Issuer |
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1396097143 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 358375-9922 (Utah) | Primary |
1223G0001X | Dentist - General Practice | 9149 (Colorado) | Secondary |