Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223P0300X | Periodontist | 003419 | CT |
Y | 1223P0300X | Periodontist | 03419 | CT |
N | 1223P0300X | Periodontist | DN9324120384SERIAL | MA |
NPI | 1053327825 |
---|---|
Provider Name | Dr. Harold L. Horton |
First Address | Woodbridge, CT 06525 |
Second Address | Milford, CT 06460 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 10/08/2011 |