Individual
DR. PATRICIA ANN HOSTYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7344 CAPISTRANO DR, SHREVEPORT, LA 71105-5036
(703) 282-1360
Mailing address
7344 CAPISTRANO DR, SHREVEPORT, LA 71105-5036
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401416204
VA
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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