Provider Demographics
NPI:1558425371
Name:HORAL, WILLIAM PAUL (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:PAUL
Last Name:HORAL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11032 GRAND RIVER RD
Mailing Address - Street 2:P.O. BOX 1018
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-9589
Mailing Address - Country:US
Mailing Address - Phone:810-229-8103
Mailing Address - Fax:810-231-8904
Practice Address - Street 1:11032 GRAND RIVER RD
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-9589
Practice Address - Country:US
Practice Address - Phone:810-229-8103
Practice Address - Fax:810-231-8904
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI140891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice