Individual
DR. SHANE PHILIP HODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
18333 NE 19TH AVE, NORTH MIAMI BEACH, FL 33179-5031
(305) 725-8907
Mailing address
3000 ISLAND BLVD, APT 1402, AVENTURA, FL 33160-4923
(305) 725-8907
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
21710
FL
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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