| NPI | 1093242711 |
|---|---|
| Professional Name | JAIMIE CAROLINE BORGENICHT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN24070) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL 1672) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2022-05-24 |