MR. James Walter Hodge, D.D.S.

NPI #1942587340 in Ketchum, Idaho

Provider Information

NPI Number
1942587340
Entity Type
Individual
Name
MR. James Walter Hodge, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Nov 14, 2011
Last Updated
Nov 14, 2011

Practice Location

Address
620 1ST AVENUE NORTH
State
Idaho
ZIP Code
83340-2273
Phone
(208) 726-2233

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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