Organization
KATHRYN L. HORUTZ, D.M.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN LYNN HORUTZ D.M.D. (OWNER)
(207) 772-1205
Entity
Organization
Contact information
Practice address
173 OCEAN AVE, PORTLAND, ME 04103-5728
(207) 772-1205
Mailing address
173 OCEAN AVENUE, PORTLAND, ME 04103
(207) 772-1205
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4012
ME
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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