Individual
DR. JORDAN DAVID HOTTENSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
FIRST AND PEACH STREETS, LEESPORT, PA 19533-0724
(610) 926-5705
(610) 926-6446
Mailing address
PO BOX 724, FIRST AND PEACH STREETS, LEESPORT, PA 19533-0724
(610) 926-5705
(610) 926-6446
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS 037862
PA
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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