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