Jan Odell Dds Inc | |
27462 Calle Arroyo Suite 46b San Juan Capistrano CA 92675 | |
(949) 443-9533 | |
(949) 443-6123 |
Full Name | Jan Odell Dds Inc |
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Speciality | Dentist - Endodontics |
Location | 27462 Calle Arroyo, San Juan Capistrano, California |
Authorized Official Name and Position | Josanne M Odell (PRESIDENT) |
Authorized Official Contact | 9494439533 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jan Odell Dds Inc 27462 Calle Arroyo Suite 46b San Juan Capistrano CA 92675 Ph: (949) 443-9533 | Jan Odell Dds Inc 27462 Calle Arroyo Suite 46b San Juan Capistrano CA 92675 Ph: (949) 443-9533 |
NPI Number | 1336150606 |
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Provider Enumeration Date | 08/11/2006 |
Last Update Date | 09/12/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336150606 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | 39059 (California) | Primary |
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