| Susan K Oles Dmd Pllc | |
|
4611 E Shea Blvd Suite 110 Phoenix AZ 85028-4254 | |
| (602) 840-2190 | |
| (602) 808-0820 |
| Full Name | Susan K Oles Dmd Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4611 E Shea Blvd, Phoenix, Arizona |
| Authorized Official Name and Position | Susan Kathryn Oles (DENTIST) |
| Authorized Official Contact | 6028402190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan K Oles Dmd Pllc 4611 E Shea Blvd Suite 110 Phoenix AZ 85028-4254 Ph: (602) 840-2190 | Susan K Oles Dmd Pllc 4611 E Shea Blvd Suite 110 Phoenix AZ 85028-4254 Ph: (602) 840-2190 |
| NPI Number | 1497058143 |
|---|---|
| Provider Enumeration Date | 12/17/2010 |
| Last Update Date | 12/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497058143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D3823 (Arizona) | Primary |
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