Organization
PHILIP N. HODGE, DDS, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP NORMAN HODGE D.D.S. (OWNER/GENERAL DENTIST)
(253) 852-4746
Entity
Organization
Contact information
Practice address
19221 108TH AVE SE STE 4, RENTON, WA 98055-7369
(253) 852-4746
(253) 852-4754
Mailing address
19221 108TH AVE SE STE 4, RENTON, WA 98055-7369
(253) 852-4746
(253) 852-4754
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE 00004936
WA
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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