Organization
ODA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY DALE JOHNSTON (PRESIDENT)
(206) 979-2660
Entity
Organization
Contact information
Practice address
2728 WESTMOOR CT SW STE C, OLYMPIA, WA 98502-5779
(360) 492-8444
(360) 491-8444
Mailing address
2728 WESTMOOR CT SW STE C, OLYMPIA, WA 98502-5779
(360) 492-8444
(360) 491-8444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/05/2010
Last updated
04/05/2010
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