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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WALTER EMANUEL ODISHO, DDS

Active

WALTER EMANUEL ODISHO, DDS is a Pediatric Dentistry healthcare provider located in FAIRFAX, Virginia. NPI 1710362447 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · FAIRFAX, VA

Registration Details

NPI Number
1710362447
Provider Type
Individual
Gender
Male
NPI Issued
Jul 23, 2015 (11.017389768753 yrs)
Last Updated
May 17, 2018
License
0401416043 (VA)

Practice Information

Address
3040 WILLIAMS DR STE 201
FAIRFAX, VA, 22031
Browse VA providers · Browse ZIP 22031
Phone
5714196897
Primary Specialty
Pediatric Dentistry
1223P0700X

Other Pediatric Dentistry Providers in FAIRFAX, VA

Name Credential NPI
DR. STEVEN MICHAEL SOMERS DDS 1720090442
BRENDAN JOHN BERNHART D.D.S. 1245458371
DR. MINKU KANG 1164642799
DR. RICHARD WILLIAM TOTH DDS, MS 1154591261
BRIAN A MAHLER D.D.S. 1215189816
DR. CAROLINE CORRIGAN ESKOW D.D.S, M.S. 1306275110
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.