Individual
DR. DOUGLAS MARK OLSEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
605 S COOLIDGE ST, MOSES LAKE, WA 98837-1893
(509) 765-0674
(509) 764-0344
Mailing address
605 S COOLIDGE ST, MOSES LAKE, WA 98837-1893
(509) 765-0674
(509) 764-0344
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60965347
WA
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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