Individual
KAITLYN HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2300 VILLAGE PKWY, HIGHLAND VILLAGE, TX 75077-3322
(972) 845-8727
Mailing address
5418 VANDERBILT AVE, DALLAS, TX 75206-6024
(901) 573-3261
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
37253
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2019
Last updated
04/27/2023
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