Individual
DR. MATTHEW CHRISTOPHER O'DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3518 TEAYS VALLEY RD, HURRICANE, WV 25526-9235
(304) 562-1000
Mailing address
3518 TEAYS VALLEY RD, HURRICANE, WV 25526-9235
(304) 562-1000
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3824
WV
Other
Enumeration date
02/22/2011
Last updated
10/08/2013
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