Individual
DR. JOE SCOTT OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3813 S KIWANIS CIR, SIOUX FALLS, SD 57105-4266
(605) 332-1095
(605) 335-7618
Mailing address
3813 S KIWANIS CIR, SIOUX FALLS, SD 57105-4266
(605) 332-1095
(605) 335-7618
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
M742
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M742
—
SD
Enumeration date
08/30/2006
Last updated
07/09/2007
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