Individual
DR. ETTIE HORESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
12801 W SUNRISE BLVD, SUITE F222, SUNRISE, FL 33323-4020
(954) 846-7171
Mailing address
12801 W SUNRISE BLVD, SUITE F222, SUNRISE, FL 33323-4020
(954) 846-7171
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN21340
FL
Other
Enumeration date
09/24/2015
Last updated
11/19/2015
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