| NPI | 1235475633 |
|---|---|
| Doing Business As | BGR DENTAL |
| Entity Type | Organization |
| Authorized Contact | MIGUEL FERNANDO BORDA President/Dentist 954-226-9916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN19392) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: FL DN17852) |
| 1223G0001X Dentist, General Practice (Licence: FL DN19924) | |
| 1223G0001X Dentist, General Practice (Licence: FL DN19469) | |
| 1223P0300X Dentist, Periodontics (Licence: FL DN16482) | |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2016-01-12 |