LARRY KENNETH HODGE

LAFAYETTE, IN
NPI1669585493
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12005653)
Enumeration Date2006-08-16
Last Update Date2007-07-08
Business Address
Dr. LARRY KENNETH HODGE DDS
321 N 22ND ST
LAFAYETTE, IN 47904-2601
Phone number: 765-463-7897
Mailing Address
Dr. LARRY KENNETH HODGE DDS
321 N 22ND ST
LAFAYETTE, IN 47904-2601
Phone number: 765-463-7897
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