Organization
CLAYTON PEDIATRIC DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BURTON ALAN HORWITZ DDS, MSD (OWNER)
(919) 553-3202
Entity
Organization
Contact information
Practice address
400 TEW CT, SUITE 106, CLAYTON, NC 27520-2279
(919) 553-3202
Mailing address
PO BOX 159, CLAYTON, NC 27528-0159
(919) 553-3202
(919) 883-4540
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8994149
—
NC
Enumeration date
03/31/2015
Last updated
03/31/2015
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