Individual
DR. CAMILLE WORTHINGTON HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
314 UNION STATION DR, SENECA, SC 29678-4547
(864) 482-7900
Mailing address
314 UNION STATION DR, SENECA, SC 29678-4547
(864) 482-7900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4211
SC
1223P0221X
Pediatric Dentistry
4211
SC
1223P0221X
Pediatric Dentistry
Primary
DN17873
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX4211
—
SC
Enumeration date
05/25/2007
Last updated
10/19/2011
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