Chandler Fleming Hodge, DDS Valid NPI
Individual provider · Dentist · Ferndale, WA
- NPI
- 1073216602
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- DE61439809 (WA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2023-03-23
- Last updated
- 2023-06-05
Practice location
6060 Portal Way
Ferndale, WA 98248-7833
(360) 676-6177