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Individual

DANIEL HOSTRANDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3747 LATROBE DR, CHARLOTTE, NC 28211-1164
(607) 372-7460
Mailing address
114 KILEY ST, CHAPEL HILL, NC 27516-6079

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10016
NC

Other

Enumeration date
05/20/2015
Last updated
05/30/2015
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