| NPI | 1033631882 |
|---|---|
| Doing Business As | BORDEN DENTAL ARTS |
| Entity Type | Organization |
| Authorized Contact | CHARLES SEYMOUR BORDEN Owner 618-656-4202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019024683) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2022-07-21 |