Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 55824 | CA |
Y | 1223D0004X | Dentist Anesthesiologist | 29176 | TX |
N | 1223D0004X | Dentist Anesthesiologist | D8011 | AZ |
NPI | 1578673935 |
---|---|
Provider Name | Julie Horng |
First Address | Tempe, AZ 85281-5174 |
Second Address | Tempe, AZ 85281-5174 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 17/04/2014 |