Organization
HORIZON SMILES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIS ELBERT MAXWELL DDS (OWNER/ORTHODONTIST)
(915) 852-5111
Entity
Organization
Contact information
Practice address
14509 HORIZON BLVD, HORIZON CITY, TX 79928-8564
(915) 852-5111
(915) 852-1067
Mailing address
14509 HORIZON BLVD, HORIZON CITY, TX 79928
(915) 852-5111
(915) 852-1067
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
302F00000X
Exclusive Provider Organization
11040
TX
Other
Enumeration date
07/12/2007
Last updated
01/23/2018
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