Individual
DR. KRISTIN S HODGSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3200 OLD JENNINGS RD, MIDDLEBURG, FL 32068-3414
(904) 505-2010
(904) 505-2011
Mailing address
3200 OLD JENNINGS RD, MIDDLEBURG, FL 32068-3414
(904) 505-2010
(904) 505-2011
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN19166
FL
390200000X
Student in an Organized Health Care Education/Training Program
0442000150
VA
Other
Enumeration date
07/28/2010
Last updated
07/15/2013
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