Individual
KEITH WAYNE HODGKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5218 STOCKTON HILL RD, KINGMAN, AZ 86409-1042
(928) 692-2212
(928) 692-5807
Mailing address
5218 STOCKTON HILL RD, KINGMAN, AZ 86409-1042
(928) 692-2212
(928) 692-5807
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6418
AZ
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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