Individual
DR. PAUL KEVIN HODAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1000 E 1ST ST STE 108, DULUTH, MN 55805-2297
(218) 722-1854
(218) 722-6424
Mailing address
1000 E 1ST ST STE 108, DULUTH, MN 55805-2297
(218) 722-1854
(218) 722-6424
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D9909
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017320700
—
MN
Enumeration date
10/02/2006
Last updated
01/07/2015
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