Individual
DR. GERALD D. HORNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10668 HUNTERS GLEN DR, SAN DIEGO, CA 92130-4850
(619) 905-4289
Mailing address
10668 HUNTERS GLEN DR, SAN DIEGO, CA 92130-4850
(619) 905-4289
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
38429
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
38429
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112162
MEDICARE ID
CA
Enumeration date
07/07/2006
Last updated
07/13/2012
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