Individual
BENJAMIN HOSTETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
95 S IDAHO RD STE 100, APACHE JUNCTION, AZ 85119-0006
(970) 290-1028
Mailing address
7445 E EAGLE CREST DR UNIT 2055, MESA, AZ 85207-7154
(970) 290-1028
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7556
NE
122300000X
Dentist
Primary
D010900
AZ
Other
Enumeration date
07/18/2019
Last updated
10/16/2020
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