Individual
DR. NATHAN R HOFTIEZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1007 WEBSTER ST, TWO RIVERS, WI 54241-3737
(920) 860-6273
Mailing address
1007 WEBSTER ST, TWO RIVERS, WI 54241-3737
(920) 860-6273
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001325-15
WI
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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