Search › Virginia › 1223P0700X
Walter Odisho, DDS
NPI 1710362447 · on the registry since 2015
Practice
- Address
- 3040 Williams Dr Ste 201
Fairfax, VA 22031 - Phone
- (571) 419-6897
- Organisation at this address
- Nana Dickson, Dds Pc
Barry B Ekdom Phd, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Additional practice sites
- 650 W Baltimore St Fl 4, Baltimore, MD
Registry record
- Primary taxonomy
- 1223P0700X
1223P0700X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-05-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia