NPI | 1891409173 |
---|---|
Doing Business As | BORDLEE FAMILY AND COSMETIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | ERIC C BORDLEE Owner 225-362-4233 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-01-11 |
Last Update Date | 2023-01-11 |