Organization
JAN ODELL DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSANNE M ODELL DDS (PRESIDENT)
(949) 443-9533
Entity
Organization
Contact information
Practice address
27462 CALLE ARROYO, SUITE 46B, SAN JUAN CAPISTRANO, CA 92675
(949) 443-9533
(949) 443-6123
Mailing address
27462 CALLE ARROYO, SUITE 46B, SAN JUAN CAPISTRANO, CA 92675
(949) 443-9533
(949) 443-6123
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
39059
CA
Other
Enumeration date
08/11/2006
Last updated
09/12/2013
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