Individual
DR. KEVIN M O'DEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
10 SIERRA GATE PLZ, SUITE 190, ROSEVILLE, CA 95678-6645
(916) 786-3303
Mailing address
10 SIERRA GATE PLZ, SUITE 190, ROSEVILLE, CA 95678-6645
(916) 786-3303
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
39553
CA
Other
Enumeration date
03/25/2007
Last updated
07/08/2007
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