NPI | 1700155025 |
---|---|
Other Name | SCOTT T. ODOM DDS, PC |
Entity Type | Organization |
Authorized Contact | SCOTT ODOM President 337-593-9989 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 4901) |
Enumeration Date | 2011-12-15 |
Last Update Date | 2011-12-15 |