Organization
HORIZON DENTAL PDC PLLC
Active
Other names
Horizon Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CHRISTENSEN (CREDENTIALING SPECIALIST)
(801) 305-3460
Entity
Organization
Contact information
Practice address
919 12TH PL STE 7, PRESCOTT, AZ 86305-1433
(928) 641-4000
(928) 285-5835
Mailing address
355 S 520 W, 250, LINDON, UT 84042-1976
(801) 305-3460
(801) 355-6551
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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