Provider Demographics
NPI:1114630514
Name:HORIZON DENTISTRY LLC
Entity Type:Organization
Organization Name:HORIZON DENTISTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LISSET
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA ALONSO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:772-777-6084
Mailing Address - Street 1:5851 S CONGRESS AVE
Mailing Address - Street 2:
Mailing Address - City:ATLANTIS
Mailing Address - State:FL
Mailing Address - Zip Code:33462-1347
Mailing Address - Country:US
Mailing Address - Phone:561-965-9988
Mailing Address - Fax:561-965-0385
Practice Address - Street 1:5851 S CONGRESS AVE
Practice Address - Street 2:
Practice Address - City:ATLANTIS
Practice Address - State:FL
Practice Address - Zip Code:33462-1347
Practice Address - Country:US
Practice Address - Phone:561-965-9988
Practice Address - Fax:561-965-0385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-30
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty