Individual
DR. MATTHEW ALAN HOSTETLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
161 HORIZON DR STE 103C, VERONA, WI 53593-1250
(608) 845-7350
(608) 845-9793
Mailing address
6797 HORSESHOE BND, VERONA, WI 53593-9211
(260) 402-5616
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12011314A
IN
1223G0001X
General Practice Dentistry
2901020290
MI
1223G0001X
General Practice Dentistry
Primary
7169-15
WI
Other
Enumeration date
08/25/2009
Last updated
08/19/2019
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