Individual
DR. ANDELYN OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4370 SMILEY RD, LAS VEGAS, NV 89115-1808
(702) 668-7308
Mailing address
4370 SMILEY RD, LAS VEGAS, NV 89115-1808
(702) 668-7308
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6540
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6540
NEVADA STATE DENTAL BOARD
NV
Enumeration date
05/16/2018
Last updated
03/07/2023
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