DR. Mark S Oliverson, DMD

NPI #1689797458 in Salmon, Idaho

Provider Information

NPI Number: 1689797458
Entity Type: Individual
Name: DR. Mark S Oliverson, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Apr 9, 2007
Last Updated: Oct 9, 2014

Practice Location

Address: 207 MARGARET ST
City: Salmon
State: Idaho
ZIP Code: 83467-4400
Phone: (208) 756-2262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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