Individual
DR. CANDICE TYIERA HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
900 SUMMIT AVE, GREENSBORO, NC 27405-7918
(336) 370-1112
Mailing address
4430 KIMBALL LN, WINSTON SALEM, NC 27105-3211
(336) 926-0267
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13813
NC
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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