Organization
LION DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSAMA ODEH DDS (MANAGER)
(313) 617-8462
Entity
Organization
Contact information
Practice address
9821 JEFFERSON DAVIS HWY, FREDERICKSBURG, VA 22407-9422
(313) 617-8462
Mailing address
30 SHORT BRANCH RD, STAFFORD, VA 22556-4635
(313) 617-8462
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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