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Individual

MATTHEW PAUL BORST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS.

Contact information

Practice address
1895 GEORGETOWN CENTER DR, JENISON, MI 49428-7137
(616) 457-1610
Mailing address
1895 GEORGETOWN CENTER DR, JENISON, MI 49428-7137
(616) 457-1610

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021856
MI

Other

Enumeration date
06/02/2016
Last updated
06/02/2016
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