Gary Odasso DMD

NPI 1023066933 - Dentist - 1223G0001X

NPI Details
NPI 1023066933
Gender Male
Enumeration Date 05/04/2006
Last Updated 05/08/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
6349 US HIGHWAY 550
PRESBYTERIAN MEDICAL SERVICES
CUBA NM, 87013-0000, US
Phone (575) 289-3291
Fax
Business Location
6349 US HIGHWAY 550
PRESBYTERIAN MEDICAL SERVICES
CUBA NM, 87013-0000, US
Phone (575) 289-3291
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State New Mexico
License Number DD2618
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According to our database, Dr. Gary Odasso DMD NPI is 1023066933, taxonomy code is 1223G0001X and license number is DD2618, license state is located at New Mexico. Gary Odasso DMD physically located at 6349 Us Highway 550, Cuba NM, 87013-0000. NPI Number Gary Odasso DMD has the Individual type.

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1023066933 NPI number is provided on an as is basis without warranty of any kind. 1023066933 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Odasso DMD are for informational purposes only.