| NPI | 1689697914 |
|---|---|
| Former Name | SARA LYNN HORAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS037258) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 21485) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2014-03-26 |