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Individual

MS. REBECCA HODGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
23700 ORCHARD LAKE RD, SUITE J, FARMINGTON HILLS, MI 48336-2559
(248) 478-0831
(248) 478-8798
Mailing address
9945 FOX AVE, ALLEN PARK, MI 48101-1394
(313) 433-0762

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902015742
MI

Other

Enumeration date
01/18/2011
Last updated
01/18/2011
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