Provider Demographics
NPI:1386778553
Name:MICHAEL HORWITZ, DDS,INC
Entity type:Organization
Organization Name:MICHAEL HORWITZ, DDS,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:HORWITZ
Authorized Official - Last Name:HORWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:805-850-0228
Mailing Address - Street 1:1601 EASTMAN AVE
Mailing Address - Street 2:#105
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-6481
Mailing Address - Country:US
Mailing Address - Phone:805-850-0228
Mailing Address - Fax:
Practice Address - Street 1:1601 EASTMAN AVE
Practice Address - Street 2:#105
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-6481
Practice Address - Country:US
Practice Address - Phone:805-850-0228
Practice Address - Fax:805-653-1157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA226171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty