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Individual

DR. MILITA GHASSEMZADEH BORGUET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
110 N ESSEX AVE, NARBERTH, PA 19072-2206
(610) 664-9510
(610) 664-8468
Mailing address
110 N ESSEX AVE, NARBERTH, PA 19072-2206
(610) 664-9510
(610) 664-8468

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
18105
NJ
1223P0300X
Periodontics
Primary
DS027843L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
776058
BLUE CROSS BLUE SHEILD
PA
Enumeration date
08/31/2006
Last updated
10/14/2015
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