Organization · Type 2 NPI
Susan Olson DMD Inc
Dental Clinic/Center · Big Lake, AK
NPI number
1740745439
Active
Practice location
3261 S. Big Lake Rd. Ste D3-D4
Big Lake, AK 99652
Mailing address
PO Box 872461
Wasilla, AK 99687-2461
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
About NPI 1740745439
Susan Olson DMD Inc's National Provider Identifier is 1740745439, issued on Feb 6, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Big Lake, AK. The record was last updated on Feb 6, 2019.