| 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 |