NPI | 1053150987 |
---|---|
Doing Business As | HORIZON DENTAL |
Entity Type | Organization |
Authorized Contact | MARK CHRISTENSEN Credentialing Specialist 801-305-3460 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2024-05-21 |
Last Update Date | 2024-05-21 |