Individual
DR. BENJAMIN SCOTT ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5060 N 40TH ST STE 108, PHOENIX, AZ 85018-2140
(602) 956-9060
Mailing address
5060 N 40TH ST STE 108, PHOENIX, AZ 85018-2140
(602) 956-9060
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1722
AZ
Other
Enumeration date
01/01/2007
Last updated
07/08/2007
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