Horizon Smiles, Pllc | |
14509 Horizon Blvd Horizon City TX 79928-8564 | |
(915) 852-5111 | |
(915) 852-1067 |
Full Name | Horizon Smiles, Pllc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 14509 Horizon Blvd, Horizon City, Texas |
Authorized Official Name and Position | Willis Elbert Maxwell (OWNER/ORTHODONTIST) |
Authorized Official Contact | 9158525111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Horizon Smiles, Pllc 14509 Horizon Blvd Horizon City TX 79928 Ph: (915) 852-5111 | Horizon Smiles, Pllc 14509 Horizon Blvd Horizon City TX 79928-8564 Ph: (915) 852-5111 |
NPI Number | 1336348127 |
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Provider Enumeration Date | 07/12/2007 |
Last Update Date | 01/23/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336348127 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
302F00000X | Exclusive Provider Organization | 11040 (Texas) | Secondary |
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