Individual
DR. BRIAN DAVID HODGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1801 W WISCONSIN AVE, MILWAUKEE, WI 53233-2186
(414) 288-1566
(414) 288-0765
Mailing address
1801 W WISCONSIN AVE, MILWAUKEE, WI 53233-2186
(414) 288-1566
(414) 288-0765
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019-021052
IL
1223P0221X
Pediatric Dentistry
Primary
4214-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33733500
—
WI
Enumeration date
10/20/2005
Last updated
07/31/2008
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