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Organization
SUSAN K OLES DMD PLLC
Active
Organization
SUSAN K OLES DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN KATHRYN OLES DMD (DENTIST)
(602) 840-2190
Entity
Organization
Contact information
Practice address
4611 E SHEA BLVD, SUITE 110, PHOENIX, AZ 85028-4254
(602) 840-2190
(602) 808-0820
Mailing address
4611 E SHEA BLVD, SUITE 110, PHOENIX, AZ 85028-4254
(602) 840-2190
(602) 808-0820
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3823
AZ
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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