Organization
WILLIAM M ODOM, DDS,INC
Active
Other names
ODOM DENTAL SLEEP MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM MARTIN ODOM III DDS (PRESIDENT/DOCTOR/PROVIDER)
(760) 453-7789
Entity
Organization
Contact information
Practice address
5256 S MISSION RD, SUITE 1101, BONSALL, CA 92003-3614
(760) 453-7789
(760) 729-6952
Mailing address
330 REDWOOD AVE, CARLSBAD, CA 92008-4055
(760) 453-7789
(760) 729-6952
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
17850
CA
Other
Enumeration date
08/22/2014
Last updated
02/10/2016
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