Individual
DR. DOUGLAS J HORTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
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
122300000X
Dentist
Primary
6174
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0137794
—
IA
Enumeration date
12/06/2005
Last updated
07/08/2007
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