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Individual

DR. MARK STEVEN HODSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
330 NORTH MAIN STREET, CENTERVILLE, OH 45459-4465
(937) 433-6903
(937) 433-0641
Mailing address
330 NORTH MAIN STREET, CENTERVILLE, OH 45459-4465
(937) 433-6903
(937) 433-0641

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14095
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0269721
OH
Enumeration date
02/08/2007
Last updated
07/08/2007
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