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Individual
THERESA MARIA HOFSTEDE
Active
Individual
THERESA MARIA HOFSTEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
23173
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188764801
—
TX
Enumeration date
03/19/2007
Last updated
07/11/2012
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