| NPI | 1073620043 |
|---|---|
| Professional Name | JAMES WESLEY BORENGASSER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AR 3525) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: AR 3525) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2018-03-17 |