Individual
DR. KATHLEEN ODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
826 E 12300 S STE 2, DRAPER, UT 84020-8276
(801) 571-8821
(801) 998-8810
Mailing address
5349 HOLLADAY BLVD, SALT LAKE CITY, UT 84117
(801) 856-8511
(801) 998-8810
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
143309-9923
UT
1223P0300X
Periodontics
DE60413286
WA
Other
Enumeration date
05/07/2007
Last updated
09/07/2017
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