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Organization
MIGUEL FERNANDO BORDA, P.A.
Active
Organization
MIGUEL FERNANDO BORDA, P.A.
Active
Other names
BGR Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GILBERTO HERRERA (MANAGER)
(561) 312-9372
Entity
Organization
Contact information
Practice address
1825 FOREST HILL BLVD, SUITE 205, WEST PALM BEACH, FL 33406-8902
(561) 733-9099
Mailing address
1825 FOREST HILL BLVD, SUITE 205, WEST PALM BEACH, FL 33406-8902
(561) 733-9099
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN19392
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN19160
FL
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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