LARRY L BORTH

BRIDGETON, MO
NPI1982732541
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: MO  012184)
Enumeration Date2007-03-02
Last Update Date2007-07-08
Business Address
Dr. LARRY L BORTH DDS
3394 MCKELVEY RD SUITE 104
BRIDGETON, MO 63044-2531
Phone number: 314-739-4412
Mailing Address
Dr. LARRY L BORTH DDS
3394 MCKELVEY RD SUITE 104
BRIDGETON, MO 63044-2531
Phone number: 314-739-4412
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