Individual
SUSAN OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
3896 N MARTIN L KING BLVD, N LAS VEGAS, NV 89032-6603
(702) 614-1792
Mailing address
3261 S. BIG LAKE RD. STE D3-D4, BIG LAKE, AK 99652
(907) 892-5669
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6555
NV
Other
Enumeration date
12/18/2014
Last updated
02/06/2019
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