Organization
KELLYN W. HODGES, DMD, MS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLYN HODGES (OWNER)
(610) 645-7640
Entity
Organization
Contact information
Practice address
411 DOYLESTOWN RD UNIT D, MONTGOMERYVILLE, PA 18936-9636
(215) 412-9810
Mailing address
PO BOX 138, GLADWYNE, PA 19035-0138
(610) 645-7640
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/26/2020
Last updated
06/04/2024
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