Individual
DR. SCOTT R OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7424 BRIDGEPORT WAY W, LAKEWOOD, WA 98499-8120
(253) 581-2112
(253) 240-2102
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00008764
WA
1223G0001X
General Practice Dentistry
DE00008764
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5034392
—
WA
Enumeration date
08/10/2006
Last updated
02/21/2025
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