NPI | 1710984786 |
---|---|
Other Name | RAYMOND HALAIS BORGES |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: PR 1893) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MA 17849) |
1223E0200X Dentist, Endodontics (Licence: GA DN013797) | |
Enumeration Date | 2005-07-05 |
Last Update Date | 2010-06-09 |