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Individual

DR. ROBERT HAROLD HODGERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
628 NW YORK DR STE 101, BEND, OR 97703-1572
(541) 389-2300
(541) 389-2301
Mailing address
628 NW YORK DR STE 101, BEND, OR 97703-1572
(541) 389-2300
(541) 389-2301

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4731
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4731
STATE LICENSE
OR
Enumeration date
04/29/2009
Last updated
06/10/2021
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