| Susan Olson Dmd Inc | |
|
3261 S. Big Lake Rd. Ste D3-d4 Big Lake AK 99652 | |
| (907) 892-5669 | |
| Not Available |
| Full Name | Susan Olson Dmd Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3261 S. Big Lake Rd. Ste D3-d4, Big Lake, Alaska |
| Authorized Official Name and Position | Susan Olson (DENTIST) |
| Authorized Official Contact | 9497480710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Olson Dmd Inc Po Box 872461 Wasilla AK 99687-2461 Ph: (949) 748-0710 | Susan Olson Dmd Inc 3261 S. Big Lake Rd. Ste D3-d4 Big Lake AK 99652 Ph: (907) 892-5669 |
| NPI Number | 1740745439 |
|---|---|
| Provider Enumeration Date | 02/06/2019 |
| Last Update Date | 02/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740745439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |