Individual
DAVID W O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4072 VICTORY BLVD, PORTSMOUTH, VA 23701-2820
(757) 465-3834
Mailing address
1090 NORTHCHASE PKWY SE, SUITE 290, MARIETTA, GA 30067-6405
(770) 916-5352
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401413071
VA
Other
Enumeration date
01/06/2011
Last updated
01/06/2011
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