Individual
THOMAS SOLOMON HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2860 W DIVISION ST STE 102, SAINT CLOUD, MN 56301-7330
(320) 200-9011
Mailing address
906 CYPRESS RD APT 215, SAINT CLOUD, MN 56303-1425
(218) 269-6374
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14595
MN
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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