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Organization

SMITH & OLSEN DENTAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK D OLSEN DDS (DENTIST)
(608) 837-7842
Entity
Organization

Contact information

Practice address
100 WILBURN RD, 212, SUN PRAIRIE, WI 53590-1478
(608) 837-7842
(608) 837-0469
Mailing address
100 WILBURN RD, 212, SUN PRAIRIE, WI 53590-1478
(608) 837-7842
(608) 837-0469

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
5001799
WI
1223G0001X
General Practice Dentistry
Primary
5501015
WI

Other

Enumeration date
12/13/2006
Last updated
08/22/2020
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