Kenneth Hortman is a Denturist based in Roberta, GA. Kenneth Hortman practices in Roberta, GA. The NPI Number for Kenneth Hortman is 1619329307 and holds a License No. (Georgia).
The current practice location address for Kenneth Hortman is 143 E Crusselle St, Roberta, GA and can be reached out via phone at 478-836-2994.
Location: 143 E Crusselle St, Roberta, GA, 31078-0900
Provider Profile Details
NPI Number
1619329307
Provider Name
Kenneth Hortman
Credential
Provider Entity Type
Individual
Gender
Male
Address
143 E Crusselle St, Roberta, GA, 31078-0900
Phone Number
478-836-2994
Fax Number
Provider Enumeration Date
07/06/2016
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
143 E Crusselle St
City
State
Zip
31078-4866
Phone Number
478-836-2994
Fax Number
Provider Business Mailing Address Details
Address
143 E Crusselle St
City
State
Zip
31078-4866
Phone Number
478-836-2994
Fax Number
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come.
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