Horacek Dental

NPI #1528376233 in Portland, Oregon

Provider Information

NPI Number: 1528376233
Entity Type: Organization
Organization Name: Horacek Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 15, 2010
Last Updated: Sep 15, 2010

Practice Location

Address: 10340 SE DIVISION ST
Address 2: SUITE 3
City: Portland
State: Oregon
ZIP Code: 97266-1269
Phone: (503) 256-3199

Authorized Official

Name: DR. RICHARD HORACEK, DDS
Title: OWNER
Phone: (503) 256-3199

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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