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Individual
COREY ISAAC BORNSTEIN
Active
Individual
COREY ISAAC BORNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
105579
CA
122300000X
Dentist
Primary
DR60949761
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2951001041
MI
Other
Enumeration date
03/23/2019
Last updated
07/23/2026
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