Individual
DR. BRYAN MICHAEL HORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1400 10TH AVE SW, WAVERLY, IA 50677-3752
(319) 352-5222
Mailing address
2113 4TH ST SW APT 10, WAVERLY, IA 50677
(319) 360-3725
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS-09327
IA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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