Individual
DR. CLIFFORD R HOSTETLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1119 GRANVILLE DR, NEWPORT BEACH, CA 92660-6226
(949) 644-1141
(949) 644-1165
Mailing address
1119 GRANVILLE DR, NEWPORT BEACH, CA 92660-6226
(949) 644-1141
(949) 644-1165
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16186
CA
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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