Organization
BRIAN F. OLSEN, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN F OLSEN DDS (OWNER)
(303) 870-7221
Entity
Organization
Contact information
Practice address
EAST HWY 262, MONTEZUMA CREEK, UT 84534
(435) 485-0121
(866) 275-2831
Mailing address
P.O. BOX 130, CORTEZ, CO 81321
(435) 485-0121
(866) 275-2831
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
358375-9922
UT
1223G0001X
General Practice Dentistry
9149
CO
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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