Mitchell Olson, DDS

NPI 1700992146 · on the registry since 2006 · sole proprietor

Practice

Address: 8636 N. Wayne Dr.
Hayden, ID 83835
Phone: (208) 762-1555
Fax: (208) 262-3931
Organisation at this address: Hayden Lake Family Dental Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-06-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho