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1154476240
RUSSELL D. BORTH
CORPUS CHRISTI, TX
NPI
1154476240
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 14278)
Enumeration Date
2007-01-25
Last Update Date
2007-07-08
Business Address
Dr. RUSSELL D. BORTH
5756 S STAPLES ST SUITE B
CORPUS CHRISTI, TX 78413-3782
Phone number: 361-994-5414
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Mailing Address
Dr. RUSSELL D. BORTH
5756 S STAPLES ST SUITE B
CORPUS CHRISTI, TX 78413-3782
Phone number: 361-994-5414
Copy
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