Individual
ADAM GRANT HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
794 EASTLAND DR, TWIN FALLS, ID 83301-6856
(208) 734-3312
(208) 734-5036
Mailing address
794 EASTLAND DR, TWIN FALLS, ID 83301-6856
(208) 734-3312
(208) 734-5036
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-3811
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8071147
—
ID
Enumeration date
04/27/2006
Last updated
11/29/2012
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