Individual
KENNETH HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5735 E PASEO HERMOSA, CAVE CREEK, AZ 85331-8543
(970) 901-4477
Mailing address
5735 E PASEO HERMOSA, CAVE CREEK, AZ 85331-8543
(970) 901-4477
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
104586
CO
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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