Individual
DANIEL A BORRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3252 CERRILLOS RD STE A, SANTA FE, NM 87507-3001
(505) 954-1128
(505) 954-1132
Mailing address
3252 CERRILLOS RD STE A, SANTA FE, NM 87507-3001
(505) 954-1128
(505) 954-1132
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2007
PR
1223P0221X
Pediatric Dentistry
Primary
DD3017
NM
Other
Enumeration date
08/05/2007
Last updated
12/16/2011
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