Individual
DR. PATRICK HOWARD ODONNELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
133 E PARK ST, NORTH BEND, WA 98045
(425) 888-2106
Mailing address
PO BOX 499, NORTH BEND, WA 98045-0499
(425) 888-2106
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3980
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OD0018
REGENCE BLUE SHIELD
WA
Enumeration date
01/30/2006
Last updated
07/08/2007
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