Provider Demographics
NPI:1851633184
Name:RYAN L. HORN, D.D.S. AND BARRON K. HONG, D.M.D., M.S., A PARTNERSHIP
Entity type:Organization
Organization Name:RYAN L. HORN, D.D.S. AND BARRON K. HONG, D.M.D., M.S., A PARTNERSHIP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:HORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-843-6341
Mailing Address - Street 1:2999 REGENT ST STE 403
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-2119
Mailing Address - Country:US
Mailing Address - Phone:510-843-6341
Mailing Address - Fax:
Practice Address - Street 1:2999 REGENT ST STE 403
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-2119
Practice Address - Country:US
Practice Address - Phone:510-843-6341
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-25
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental