Individual
ROBERT LEON ODEGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MAGD
Contact information
Practice address
451 DUVALL AVE NE, SUITE 240, RENTON, WA 98059-4675
(425) 277-4000
(425) 226-2940
Mailing address
451 DUVALL AVE NE, 240, RENTON, WA 98059-4675
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00006433
WA
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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