Philip N. Hodge, Dds, Ps

NPI #1619320900 in Renton, Washington

Provider Information

NPI Number: 1619320900
Entity Type: Organization
Organization Name: Philip N. Hodge, Dds, Ps
Primary Specialty: Dentist
Enumeration Date: Jul 21, 2016
Last Updated: Jul 21, 2016

Practice Location

Address: 19221 108TH AVE SE STE 4
City: Renton
State: Washington
ZIP Code: 98055-7369
Phone: (253) 852-4746

Authorized Official

Name: DR. PHILIP NORMAN HODGE, D.D.S.
Title: OWNER/GENERAL DENTIST
Phone: (253) 852-4746

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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