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Individual

RAINA DANIELLE HODSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
4145 JIMMY DURANTE BLVD, LAS VEGAS, NV 89122-5431
(702) 521-4550
Mailing address
7121 W CRAIG RD, STE 113, LAS VEGAS, NV 89129-6001
(702) 521-4550

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4447
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
273160598
FUTURE SMILES
NV
Enumeration date
03/30/2011
Last updated
03/30/2011
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