# ODA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861717654
- **Authorized official:** RODNEY DALE JOHNSTON (PRESIDENT)
- **Authorized official phone:** (206) 979-2660

## Contact information

- **Practice address:** 2728 WESTMOOR CT SW STE C, OLYMPIA, WA 98502-5779
- **Practice address phone:** (360) 492-8444
- **Practice address fax:** (360) 491-8444
- **Mailing address:** 2728 WESTMOOR CT SW STE C, OLYMPIA, WA 98502-5779
- **Mailing address phone:** (360) 492-8444
- **Mailing address fax:** (360) 491-8444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/05/2010
- **Last updated:** 04/05/2010