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Walter Emanuel Odisho, DDS
Prosthodontist in Fairfax, Virginia
NPI 1710362447

Walter Emanuel Odisho is a Prosthodontist based in Baltimore, VA and is specialized in Prosthodontics. Walter Emanuel Odisho practices in Fairfax, VA and has the professional credentials of DDS. The NPI Number for Walter Emanuel Odisho is 1710362447 and holds a License No. 0401416043 (Virginia).

The current practice location address for Walter Emanuel Odisho is 3040 Williams Dr Ste 201, Fairfax, VA and can be reached out via phone at 571-419-6897.

Location: 3040 Williams Dr Ste 201, Fairfax, VA, 21202-2259
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710362447
Provider Name
Walter Emanuel Odisho
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3040 Williams Dr Ste 201, Fairfax, VA, 21202-2259
Phone Number
571-419-6897
Fax Number
Provider Enumeration Date
07/23/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3040 Williams Dr Ste 201
City
Fairfax
State
Virginia
Zip
22031
Phone Number
571-419-6897
Fax Number
person
Provider Business Mailing Address Details
Address
3040 Williams Dr Ste 201
City
Fairfax
State
Virginia
Zip
22031
Phone Number
571-419-6897
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Prosthodontics
Taxonomy
1223P0700X
License No.
0401416043 (Virginia)
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
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