Individual
DR. RICHARD S HORACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
10340 SE DIVISION ST, PORTLAND, OR 97266-1269
(503) 254-2068
Mailing address
12793 SE EVENING STAR LN, HAPPY VALLEY, OR 97086
(503) 855-3289
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8874
OR
1223G0001X
General Practice Dentistry
6488
NE
Other
Enumeration date
10/11/2005
Last updated
04/14/2008
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