Dr. Fred B Olsen III, D.D.S.
Dentist, General Practice in Phoenix, AZ. Individual provider (NPI-1).
NPI number1861663585
StatusActive
Last updated in NPPESMar 20, 2008
Details
- NPI
- 1861663585
- Entity type
- Individual (NPI-1)
- Name
- Dr. Fred B Olsen III
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 20, 2008
- Last updated
- Mar 20, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 3109 | AZ | Yes |
Practice location
2236 W Bethany Home RdSuite 1
Phoenix, AZ 85015-1934
Phone 602-246-2217
Mailing address
2236 W Bethany Home RdSuite 1
Phoenix, AZ 85015-1934
Phone 602-246-2217
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