Organization
SUSAN OLSON DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN OLSON DMD (DENTIST)
(949) 748-0710
Entity
Organization
Contact information
Practice address
3261 S. BIG LAKE RD. STE D3-D4, BIG LAKE, AK 99652
(907) 892-5669
Mailing address
PO BOX 872461, WASILLA, AK 99687-2461
(949) 748-0710
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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