Organization
KELLYN W. HODGES, DMD, MS, PC
Active
Parent organization
KELLYN W. HODGES, DMD, MS, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KELLYN W. HODGES, DMD, MS, PC
Authorized official
DR. KELLYN HODGES (OWNER)
(610) 999-7008
Entity
Organization
Contact information
Practice address
2212 STREET RD FL 2, BENSALEM, PA 19020-3501
(215) 245-5100
Mailing address
1365 FENIMORE LN, GLADWYNE, PA 19035-1333
(610) 999-7008
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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