Individual
DR. BRANDI HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2112 W MAIN ST, RUSSELLVILLE, AR 72801-2758
(479) 968-7314
Mailing address
2112 W MAIN ST, RUSSELLVILLE, AR 72801-2758
(479) 968-7314
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3710
AR
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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