Individual
DR. DANIEL BRADLEY HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1190 W. SPRING ST, MONROE, GA 30655
(770) 375-7196
Mailing address
1190 W. SPRING ST, MONROE, GA 30655
(770) 375-7196
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015865.
GA
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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