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Dr. Justin Richard Odette, DDS
Oral and Maxillofacial Surgery (Dentist) in San Diego, California
NPI 1215459987

Justin Richard Odette is a Oral and Maxillofacial Surgery (Dentist) based in San Diego, CA and is specialized in Oral and Maxillofacial Surgery. Justin Richard Odette practices in San Diego, CA and has the professional credentials of DDS. The NPI Number for Justin Richard Odette is 1215459987 and holds a License No. (California).

The current practice location address for Justin Richard Odette is Naval Medical Ctr 34800 Bob Wilson Dr, San Diego, CA and can be reached out via phone at 903-570-9445.

Location: Naval Medical Ctr 34800 Bob Wilson Dr, San Diego, CA, 92134-5000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215459987
Provider Name
Justin Richard Odette
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
Naval Medical Ctr 34800 Bob Wilson Dr, San Diego, CA, 92134-5000
Phone Number
903-570-9445
Fax Number
Provider Enumeration Date
07/13/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
VAD0000 05 CA
institution
Provider Business Practice Location Address Details
Address
Naval Medical Ctr 34800 Bob Wilson Dr
City
San Diego
State
California
Zip
92134-0001
Phone Number
903-570-9445
Fax Number
person
Provider Business Mailing Address Details
Address
Naval Medical Ctr 34800 Bob Wilson Dr
City
San Diego
State
California
Zip
92134-0001
Phone Number
903-570-9445
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
33502 (Texas)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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