Organization
SAMUEL D O'DELL, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL DOUGLAS O'DELL DDS (OWNER)
(304) 757-9389
Entity
Organization
Contact information
Practice address
3712 TEAYS VALLEY RD, HURRICANE, WV 25526-9645
(304) 757-9389
(304) 757-3296
Mailing address
3712 TEAYS VALLEY RD, HURRICANE, WV 25526-9645
(304) 757-9389
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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