| Oda, Llc | |
|
2728 Westmoor Ct Sw Ste C Olympia WA 98502-5779 | |
| (360) 492-8444 | |
| (360) 491-8444 |
| Full Name | Oda, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2728 Westmoor Ct Sw Ste C, Olympia, Washington |
| Authorized Official Name and Position | Rodney Dale Johnston (PRESIDENT) |
| Authorized Official Contact | 2069792660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oda, Llc 2728 Westmoor Ct Sw Ste C Olympia WA 98502-5779 Ph: (360) 492-8444 | Oda, Llc 2728 Westmoor Ct Sw Ste C Olympia WA 98502-5779 Ph: (360) 492-8444 |
| NPI Number | 1861717654 |
|---|---|
| Provider Enumeration Date | 04/05/2010 |
| Last Update Date | 04/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861717654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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