Search › Idaho › Pediatric Dentistry
Mark Olsen, D.D.S
NPI 1780816652 · on the registry since 2009
Practice
- Address
- 12192 Evely Pines Ln
Star, ID 83669 - Phone
- (208) 910-9000
Registry record
- Primary taxonomy
- Pediatric Dentistry
1223P0221X
- Also registered as
- General Practice Dentistry
- Licence states on file
- UT, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-02-20
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