Organization
LIZZIE O'DELL PLLC
Active
Other names
Creative Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH PHAM O'DELL DMD (OWNER)
(334) 538-1390
Entity
Organization
Contact information
Practice address
3520 TEAYS VALLEY RD, HURRICANE, WV 25526-9479
(334) 538-1390
Mailing address
3520 TEAYS VALLEY RD, HURRICANE, WV 25526-9479
(334) 538-1390
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4042
WV
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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