Individual
JASON T HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
440 E WATER ST, ELMIRA, NY 14901-3411
(607) 733-7163
Mailing address
440 E WATER ST, ELMIRA, NY 14901-3411
(607) 733-7163
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
054822
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
55020
CA
Other
Enumeration date
01/10/2006
Last updated
08/20/2020
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