| Mark R Olsen Dds Pllc | |
|
10034 Jordan Lee St Nampa ID 83687 | |
| (208) 910-9000 | |
| Not Available |
| Full Name | Mark R Olsen Dds Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 10034 Jordan Lee St, Nampa, Idaho |
| Authorized Official Name and Position | Mark Olsen (DENTIST/OWNER) |
| Authorized Official Contact | 2089109000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark R Olsen Dds Pllc 3605 W Ladle Rapids St Meridian ID 83646-7011 Ph: (208) 910-9000 | Mark R Olsen Dds Pllc 10034 Jordan Lee St Nampa ID 83687 Ph: (208) 910-9000 |
| NPI Number | 1215712666 |
|---|---|
| Provider Enumeration Date | 08/25/2023 |
| Last Update Date | 08/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215712666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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