Individual
HAFSA LODHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1785 CAMPBELL LN STE 100, BOWLING GREEN, KY 42104-1091
(270) 842-6700
(270) 842-6770
Mailing address
1501 WIND RIDGE AVE, BOWLING GREEN, KY 42104-1058
(248) 884-3864
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10164
TN
122300000X
Dentist
Primary
10800
KY
122300000X
Dentist
DN24055
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10800
KENTUCKY DENTAL LICENSE
KY
01
—
DN24055
FLORIDA DENTAL LICENSE
FL
Enumeration date
02/18/2016
Last updated
07/25/2022
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