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Organization

MARK A ODOM DDS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK A ODOM DDS (PRESIDENT ENDODONTIST)
(919) 233-8830
Entity
Organization

Contact information

Practice address
1400 CRESCENT GREEN, SUITE 200, CARY, NC 27518-8118
(919) 233-8830
(919) 233-7168
Mailing address
1400 CRESCENT GREEN, SUITE 200, CARY, NC 27518-8118
(919) 233-8830
(919) 233-7168

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
3995
LA
1223E0200X
Endodontics
Primary
5622
NC

Other

Enumeration date
04/02/2008
Last updated
04/02/2008
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