Individual
HARRISON GORDON HODGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3401 S CONGRESS AVE, PALM SPRINGS, FL 33461-3064
(561) 366-2222
Mailing address
234 E 149TH ST, BRONX, NY 10451-5504
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN26463
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/01/2018
Last updated
11/11/2021
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