Organization
MLH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC LANCE HOROWITZ DDS (OWNER)
(207) 667-2770
Entity
Organization
Contact information
Practice address
31 COMMERCE PARK, ELLSWORTH, ME 04605
(207) 667-2770
(207) 667-2770
Mailing address
PO BOX 605, ELLSWORTH, ME 04605-0605
(207) 667-2770
(207) 667-2744
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3679
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
289000099
—
ME
Enumeration date
12/15/2008
Last updated
12/15/2008
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