DR. Leonard Russell Odham JR., DDS
NPI #1952662041 in Fair Bluff, North Carolina
Provider Information
- NPI Number
- 1952662041
- Entity Type
- Individual
- Name
- DR. Leonard Russell Odham JR., DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jun 5, 2012
- Last Updated
- Jun 5, 2012
Practice Location
- Address
- 16 POWELL ST.
- City
- Fair Bluff
- State
- North Carolina
- ZIP Code
- 28439-0368
- Phone
- (910) 649-7222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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