Organization
MATTHEW A HOSTETLER DDS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW ALAN HOSTETLER DDS (DENTIST)
(260) 402-5616
Entity
Organization
Contact information
Practice address
161 HORIZON DR STE 103C, VERONA, WI 53593-1250
(260) 845-7350
Mailing address
453 CHERRY HILL DR, MADISON, WI 53717-2654
(260) 402-5616
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1769-15
WI
Other
Enumeration date
11/24/2017
Last updated
11/24/2017
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