DOUGLAS WAYNE O'DELL

CHARLESTON, WV
NPI1427072339
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: WV  2193)
Enumeration Date2006-07-26
Last Update Date2007-07-08
Business Address
DR. DOUGLAS WAYNE O'DELL DDS
1210 VIRGINIA ST E
CHARLESTON, WV 25301-2928
Phone number: 303-345-1210
Mailing Address
DR. DOUGLAS WAYNE O'DELL DDS
1210 VIRGINIA ST E
CHARLESTON, WV 25301-2928
Phone number: 303-345-1210