Individual
MR. JOHN JOSEPH BORON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
516 GREEN LANE, 1ST FLOOR, PHILADELPHIA, PA 19128-2619
(215) 487-3833
Mailing address
516 GREEN LANE, 1ST FLOOR, PHILADELPHIA, PA 19128-2619
(215) 487-3833
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS-021658-L
PA
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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