Individual
GARY KENNETH HORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
320 E FONTANERO ST, SUITE 302, COLORADO SPRINGS, CO 80907-7529
(719) 634-4805
(719) 634-3610
Mailing address
320 E FONTANERO ST, SUITE 302, COLORADO SPRINGS, CO 80907-7529
(719) 634-4805
(719) 634-3610
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00497
CO
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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