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1700131190
WAEL BORHAM
LAS CRUCES, NM
NPI
1700131190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NM DD4473)
Additional Taxonomies
122300000X Dentist
(Licence: CA 61443)
Enumeration Date
2012-07-21
Last Update Date
2019-05-28
Business Address
WAEL BORHAM DDS
608 S ALAMEDA BLVD
LAS CRUCES, NM 88005-2817
Phone number: 575-523-5589
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Mailing Address
WAEL BORHAM DDS
608 S ALAMEDA BLVD
LAS CRUCES, NM 88005-2817
Phone number: 575-523-5589
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