Individual
DR. RUSSELL ROBERT HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
32905 12 MILE RD, STE 120, FARMINGTON HILLS, MI 48334
(248) 553-3553
(248) 553-3565
Mailing address
32905 12 MILE RD, STE 120, FARMINGTON HILLS, MI 48334
(248) 553-3553
(248) 553-3565
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901013759
MI
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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