Individual
DR. GARY ODASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6349 US HIGHWAY 550, PRESBYTERIAN MEDICAL SERVICES, CUBA, NM 87013-0000
(575) 289-3291
Mailing address
6349 US HIGHWAY 550, PRESBYTERIAN MEDICAL SERVICES, CUBA, NM 87013-0000
(575) 289-3291
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD2618
NM
Other
Enumeration date
05/04/2006
Last updated
05/08/2014
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