WALLACE C HODGE

BEAVERTON, OR
NPI1982772679
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D3240)
Enumeration Date2006-12-01
Last Update Date2007-07-08
Business Address
Dr. WALLACE C HODGE dmd
14425 SW ALLEN BLVD
BEAVERTON, OR 97005-4402
Phone number: 503-520-0707
Mailing Address
Dr. WALLACE C HODGE dmd
6950 NE CAMPUS WAY
HILLSBORO, OR 97124-5611
Phone number: 503-952-2164
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