Individual
EVAN HODEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4575 WINCHESTER PIKE, COLUMBUS, OH 43232-5684
(614) 837-0002
Mailing address
4575 WINCHESTER PIKE, COLUMBUS, OH 43232-5684
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30026182
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2020
Last updated
07/19/2021
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