DR. Douglas Mark Olsen JR., DMD

NPI #1881246270 in Moses Lake, Washington

Provider Information

NPI Number: 1881246270
Entity Type: Individual
Name: DR. Douglas Mark Olsen JR., DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jul 15, 2019
Last Updated: Jul 15, 2019

Practice Location

Address: 605 S COOLIDGE ST
City: Moses Lake
State: Washington
ZIP Code: 98837-1893
Phone: (509) 765-0674

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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