Individual
MARISSA OLMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3341 E QUEEN CREEK RD, GILBERT, AZ 85297-8503
(480) 457-8877
Mailing address
6117 E EDGEMONT AVE, SCOTTSDALE, AZ 85257-1050
(623) 824-2649
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D012167
AZ
Other
Enumeration date
06/06/2024
Last updated
05/17/2026
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