Organization
GREGORY N BORGANELLI DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY N BORGANELLI DMD PA (PRESIDENT OF CORPORATION)
(386) 752-8200
Entity
Organization
Contact information
Practice address
875 SW STATE RD 47, LAKE CITY, FL 32025
(386) 752-8200
(386) 752-8209
Mailing address
875 SW STATE RD 47, LAKE CITY, FL 32025
(386) 752-8200
(386) 752-8209
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN12271
FL
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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