Whalio Doctors

NPI 1235554684

William Odom, DDS

Practitioner Orthodontics and Dentofacial Orthopedics Dentistry Bonsall, CA

Practice location

Address
5256 S Mission Rd 1101, Bonsall, CA 92003-3614
Phone
(760) 576-5695
Fax
(760) 729-6952
Mailing address
330 Redwood Ave, Carlsbad, CA 92008-4055

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary
Dental Providers Taxonomy 1223X0400X Licence 17850 (CA)

Registry record

NPI
1235554684
Entity type
Individual
Sex (as registered)
Male
NPI issued
21 Feb 2014
Record last updated
9 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.