| NPI | 1417011180 |
|---|---|
| Doing Business As | M J BORROK DMD PC |
| Entity Type | Organization |
| Authorized Contact | MARTIN BORROK Owner 660-665-9279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MO 11521) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2008-06-17 |