Individual
DR. MATTHEW HODGSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
221 E DOWNING ST, TAHLEQUAH, OK 74464-3011
(918) 931-1456
Mailing address
312 GOINGSNAKE ST, TAHLEQUAH, OK 74464-2910
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6821
OK
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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