Organization
HERZOG & HORACEK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD S HORACEK D.D.S (OWNER)
(503) 256-3199
Entity
Organization
Contact information
Practice address
10340 SE DIVISION ST, PORTLAND, OR 97266-1269
(503) 256-3199
(503) 256-9383
Mailing address
10340 SE DIVISION ST, PORTLAND, OR 97266-1269
(503) 256-3199
(503) 256-9383
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
OR
Other
Enumeration date
07/02/2008
Last updated
07/03/2008
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