Individual
MISS KAYLI HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8761
(559) 353-3000
Mailing address
500 S CHINOWTH ST STE 201, VISALIA, CA 93277-1648
(559) 624-1177
(559) 747-2370
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA85863
CA
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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