Individual
MATTHEW JAMES OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1480 S ORCHARD DR, BOUNTIFUL, UT 84010-5142
(801) 295-4551
Mailing address
1997 S 3475 W, SYRACUSE, UT 84075-4900
(512) 645-5220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13380931-9921
UT
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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