Individual
DR. RONALD B. ODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
532 PARK AVENUE, PARK AVENUE PERIODONTAL ASSOCIATES, NEW YORK, NY 10021
(212) 838-0940
(212) 355-4784
Mailing address
532 PARK AVENUE, PARK AVENUE PERIODONTAL ASSOCIATES, NEW YORK, NY 10021
(212) 838-0940
(212) 355-4784
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
022462
NY
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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