Individual
DR. DOLPHINE ODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS, MSC
Contact information
Practice address
1959 NE PACIFIC ST, B241 HSB, SEATTLE, WA 98195-7134
(206) 543-4440
(206) 543-8054
Mailing address
1959 NE PACIFIC ST, BOX 357131, SEATTLE, WA 98195-7131
(206) 543-4440
(206) 543-8054
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
DE00008619
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109907
L&I
WA
05
—
7074222
—
WA
Enumeration date
10/13/2006
Last updated
10/12/2007
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