Organization
RED CLIFFS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY J. OLSEN D.D.S. (DOCTOR OF DENTAL SURGERY)
(435) 628-5496
Entity
Organization
Contact information
Practice address
321 N MALL DR, ST GEORGE, UT 84790-7302
(435) 628-5496
(435) 628-6285
Mailing address
321 N MALL DR, ST GEORGE, UT 84790-7302
(435) 628-5496
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
309573-9923
UT
Other
Enumeration date
02/22/2007
Last updated
08/22/2020
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