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 |