Organization
DOUGLAS J HORTON DDS PC
Active
Other names
Signal Ridge Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS J HORTON DDS (OWNER)
(319) 393-0773
Entity
Organization
Contact information
Practice address
4141 GLASS ROAD NE, CEDAR RAPIDS, IA 52402
(319) 393-0773
(319) 294-4423
Mailing address
4141 GLASS ROAD NE, CEDAR RAPIDS, IA 52402
(319) 393-0773
(319) 294-4423
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6174
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0137794
—
IA
Enumeration date
07/14/2008
Last updated
07/14/2008
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