Organization
MARK R OLSEN DDS PLLC
Active
Other names
Sawtooth Kids Pediatric Dentistr, Sawtooth Kids Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK OLSEN DDS (DENTIST/OWNER)
(208) 910-9000
Entity
Organization
Contact information
Practice address
10034 JORDAN LEE ST, NAMPA, ID 83687
(208) 910-9000
Mailing address
3605 W LADLE RAPIDS ST, MERIDIAN, ID 83646-7011
(208) 910-9000
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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