Individual
JOSEPH MICHAEL HORAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
101 PLEASANT ST, WORCESTER, MA 01609-3213
(508) 795-0404
Mailing address
101 PLEASANT ST, WORCESTER, MA 01609-3213
(508) 795-0404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15299
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0260479
—
MA
Enumeration date
02/05/2007
Last updated
07/08/2007
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