Individual
MRS. CRISELDA T HODGENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2020 COFFEE RD, MODESTO, CA 95355-2427
(209) 571-9855
Mailing address
2020 COFFEE RD, MODESTO, CA 95355-2427
(209) 571-9855
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
43169
CA
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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