Individual
DR. FRED B OLSEN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2236 W BETHANY HOME RD, SUITE 1, PHOENIX, AZ 85015-1934
(602) 246-2217
Mailing address
2236 W BETHANY HOME RD, SUITE 1, PHOENIX, AZ 85015-1934
(602) 246-2217
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3109
AZ
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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