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Robert Parks Horne, DDS Valid NPI

Individual provider · Oral and Maxillofacial Surgery (Dentist) · Bridgeport, CT

NPI
1710988993
Type
Individual (Type 1)
Primary specialty
Oral and Maxillofacial Surgery (Dentist) (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223S0112X
License number
11051 (CT)
Sex
Male
Sole proprietor
No
Enumerated
2005-08-10
Last updated
2013-12-06
Practice location
4747 Main St
Bridgeport, CT 06606-1804
(203) 371-5595

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