Mark L Ohlsen

NPI #1740397611 in Faribault, Minnesota

Provider Information

NPI Number: 1740397611
Entity Type: Organization
Organization Name: Mark L Ohlsen
Primary Specialty: Dentist
Enumeration Date: Aug 24, 2006
Last Updated: Jun 23, 2008

Practice Location

Address: 505 4TH ST NW
City: Faribault
State: Minnesota
ZIP Code: 55021
Phone: (507) 334-7471

Authorized Official

Name: DR. MARK L OHLSEN, DDS
Title: OWNER
Phone: (507) 334-7471

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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