Individual
DR. BRIAN A HODACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
152 N RANDALL RD, LAKE IN THE HILLS, IL 60156-4471
(847) 854-8555
(847) 854-7093
Mailing address
152 N RANDALL RD, LAKE IN THE HILLS, IL 60156-4471
(847) 854-8555
(847) 854-7093
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
01917872
IL
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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