TAD OLSEN

MESA, AZ
NPI1144756016
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: AZ  D009695)
Enumeration Date2017-05-11
Last Update Date2017-05-11
Business Address
-- TAD OLSEN
1130 S COUNTRY CLUB DR
MESA, AZ 85210-4639
Phone number: 480-461-9866
Mailing Address
-- TAD OLSEN
1293 S 480 W
SALEM, UT 84653-9108
Phone number: 801-420-1933