JEFFREY LAURENCE HODGE

LAFAYETTE, IN
NPI1578616140
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  8643)
Enumeration Date2007-01-18
Last Update Date2007-07-08
Business Address
Dr. JEFFREY LAURENCE HODGE D.D.S.
321 N 22ND ST
LAFAYETTE, IN 47904-2601
Phone number: 765-447-6733
Mailing Address
Dr. JEFFREY LAURENCE HODGE D.D.S.
321 N 22ND ST
LAFAYETTE, IN 47904-2601
Phone number: 765-447-6733
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