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Organization
MIGUEL FERNANDO BORDA, PA
Active
Organization
MIGUEL FERNANDO BORDA, PA
Active
Other names
BGR Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL FERNANDO BORDA D.M.D. (PRESIDENT/DENTIST)
(954) 226-9916
Entity
Organization
Contact information
Practice address
2647 HOLLYWOOD BLVD, HOLLYWOOD, FL 33020-4840
(954) 923-7348
Mailing address
1825 FOREST HILL BLVD, SUITE 205, WEST PALM BEACH, FL 33406-8902
(561) 733-9099
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
DN17852
FL
1223G0001X
General Practice Dentistry
Primary
DN19392
FL
1223G0001X
General Practice Dentistry
DN19469
FL
1223G0001X
General Practice Dentistry
DN19924
FL
1223P0300X
Periodontics
DN16482
FL
Other
Enumeration date
12/13/2012
Last updated
01/12/2016
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