Organization
OLSEN BROTHERS DENTAL P.L.L.C.
Active
Other names
Emergency Dental Care USA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN F OLSEN D.D.S. (MANAGER)
(480) 491-9911
Entity
Organization
Contact information
Practice address
1840 E BASELINE RD, STE A-2, TEMPE, AZ 85283-1527
(480) 491-9911
(480) 491-9921
Mailing address
1840 E BASELINE RD, STE A-2, TEMPE, AZ 85283-1527
(480) 491-9911
(480) 491-9921
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7230
AZ
1223G0001X
General Practice Dentistry
7390
AZ
1223G0001X
General Practice Dentistry
7393
AZ
Other
Enumeration date
01/02/2008
Last updated
01/02/2008
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