Organization
MANNE & BORER ENDODONTICS AND MICROSURGERY PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BORER (CO-OWNER)
(386) 676-0705
Entity
Organization
Contact information
Practice address
150 SAGEBRUSH TRL, ORMOND BEACH, FL 32174-8102
(386) 676-0705
Mailing address
150 SAGEBRUSH TRL, ORMOND BEACH, FL 32174-8102
(386) 676-0705
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN15628
FL
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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