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Organization
ODENWALDER DENTAL INC
Active
Organization
ODENWALDER DENTAL INC
Active
Other names
Mission Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN KYLE ODENWALDER DMD (PRESIDENT)
(760) 439-5515
Entity
Organization
Contact information
Practice address
3935 MISSION AVE STE 9, OCEANSIDE, CA 92058-7802
(760) 439-5515
Mailing address
3935 MISSION AVE STE 9, OCEANSIDE, CA 92058-7802
(760) 439-5515
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS101299
CA
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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