Individual
ROCKY E HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1322 MAIN ST, ALAMOSA, CO 81101
(719) 992-2016
(719) 992-2028
Mailing address
110 E ROUTT AVE, PUEBLO, CO 81004-2117
(719) 543-8711
(719) 543-5340
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10754
CO
1223G0001X
General Practice Dentistry
10754
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
471462519
—
CO
Enumeration date
06/26/2012
Last updated
07/05/2018
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