WALTER EMANUEL ODISHO

FAIRFAX, VA
NPI1710362447
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0700X Dentist, Prosthodontics
(Licence: VA  0401416043)
Enumeration Date2015-07-23
Last Update Date2018-05-17
Business Address
WALTER EMANUEL ODISHO DDS
3040 WILLIAMS DR STE 201
FAIRFAX, VA 22031
Phone number: 571-419-6897
Mailing Address
WALTER EMANUEL ODISHO DDS
7 N CALVERT ST APT 1502
BALTIMORE, MD 21202-2259
Phone number: 786-333-6862
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