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Individual
DR. JAMES WESLEY BORENGASSER
Active
Individual
DR. JAMES WESLEY BORENGASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3525
AR
1223G0001X
General Practice Dentistry
3525
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5Y464
BLUE CROSS BLUE SHIELD-AR
AR
Enumeration date
08/24/2006
Last updated
03/17/2018
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