Individual
PHILIP DIMITRI HORNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
812 NW YORK DR STE 100, BEND, OR 97703-6746
(541) 200-7798
Mailing address
2716 NE ROSEMARY DR, BEND, OR 97701-7751
(541) 640-9524
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11966
OR
Other
Enumeration date
03/13/2023
Last updated
09/17/2024
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