Smith & Olsen Dental LLC
NPI #1013078955 in Sun Prairie, Wisconsin
Provider Information
- NPI Number
- 1013078955
- Entity Type
- Organization
- Organization Name
- Smith & Olsen Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 13, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 100 WILBURN RD
- Address 2
- 212
- City
- Sun Prairie
- State
- Wisconsin
- ZIP Code
- 53590-1478
- Phone
- (608) 837-7842
Authorized Official
- Name
- DR. MARK D OLSEN, DDS
- Title
- DENTIST
- Phone
- (608) 837-7842
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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