LYLE BRUCE BORMAN

REGO PARK, NY
NPI1407849847
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  034299)
Enumeration Date2005-08-30
Last Update Date2007-07-08
Business Address
Dr. LYLE BRUCE BORMAN D.D.S.
9229 QUEENS BLVD SUITE 1K
REGO PARK, NY 11374-1056
Phone number: 718-459-1716
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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