| Philip N. Hodge, Dds, Ps | |
|
19221 108th Ave Se Ste 4 Renton WA 98055-7369 | |
| (253) 852-4746 | |
| (253) 852-4754 |
| Full Name | Philip N. Hodge, Dds, Ps |
|---|---|
| Speciality | Dentist |
| Location | 19221 108th Ave Se Ste 4, Renton, Washington |
| Authorized Official Name and Position | Philip Norman Hodge (OWNER/GENERAL DENTIST) |
| Authorized Official Contact | 2538524746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Philip N. Hodge, Dds, Ps 19221 108th Ave Se Ste 4 Renton WA 98055-7369 Ph: (253) 852-4746 | Philip N. Hodge, Dds, Ps 19221 108th Ave Se Ste 4 Renton WA 98055-7369 Ph: (253) 852-4746 |
| NPI Number | 1619320900 |
|---|---|
| Provider Enumeration Date | 07/21/2016 |
| Last Update Date | 07/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619320900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE 00004936 (Washington) | Primary |
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