Individual
EMMA CLAIRE DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1647 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 23511-2803
(757) 953-8635
Mailing address
40 WEBSTER AVE, PORTSMOUTH, VA 23704-1845
(920) 838-4078
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001856
WI
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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