Individual
DR. RALPH LEE HORSENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
115 ALPINE COURT, SHAWANO, WI 54166-2511
(715) 524-4935
(715) 524-4943
Mailing address
115 ALPINE COURT, SHAWANO, WI 54166-2511
(715) 524-4935
(715) 524-4943
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001466015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33352900
—
WI
Enumeration date
03/23/2007
Last updated
07/08/2007
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