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1407849847
LYLE BRUCE BORMAN
REGO PARK, NY
NPI
1407849847
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 034299)
Enumeration Date
2005-08-30
Last Update Date
2007-07-08
Business Address
Dr. LYLE BRUCE BORMAN D.D.S.
9229 QUEENS BLVD SUITE 1K
REGO PARK, NY 11374-1056
Phone number: 718-459-1716
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Mailing Address
Dr. LYLE BRUCE BORMAN D.D.S.
9229 QUEENS BLVD SUITE 1K
REGO PARK, NY 11374-1056
Phone number: 718-459-1716
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