Individual
DR. KELLY DAWN HOSTETLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
665B CHERRY TREE LN, UNIONTOWN, PA 15401-8947
(724) 438-7676
(724) 438-3060
Mailing address
665B CHERRY TREE LN, UNIONTOWN, PA 15401-8947
(724) 438-7676
(724) 438-3060
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS030210-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018764910001
—
PA
Enumeration date
02/13/2006
Last updated
07/08/2007
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