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1255498309
BENJAMIN SCOTT ODOM
PHOENIX, AZ
NPI
1255498309
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: AZ 1722)
Enumeration Date
2007-01-01
Last Update Date
2007-07-08
Business Address
Dr. BENJAMIN SCOTT ODOM DDS
5060 N 40TH ST STE 108
PHOENIX, AZ 85018-2140
Phone number: 602-956-9060
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Mailing Address
Dr. BENJAMIN SCOTT ODOM DDS
5060 N 40TH ST STE 108
PHOENIX, AZ 85018-2140
Phone number: 602-956-9060
Copy
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