Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | DN5734 | FL |
NPI | 1184880684 |
---|---|
Provider Name | Dr. Joel R Hord |
First Address | Delray Beach, FL 33483-5635 |
Second Address | Delray Beach, FL 33483-5635 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2008 |
Last Update Date | 04/08/2008 |