Provider Demographics
NPI:1306910641
Name:KRANTZ-HOROWITZ, RICKI H (DMD)
Entity type:Individual
Prefix:DR
First Name:RICKI
Middle Name:H
Last Name:KRANTZ-HOROWITZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:RICKI
Other - Middle Name:H
Other - Last Name:KRANTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:532 BRICK BLVD
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-6006
Mailing Address - Country:US
Mailing Address - Phone:732-477-9290
Mailing Address - Fax:732-477-0569
Practice Address - Street 1:532 BRICK BLVD
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-6006
Practice Address - Country:US
Practice Address - Phone:732-477-9290
Practice Address - Fax:732-477-0569
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI020880001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice