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CAROLYN MARGARET BORES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1543 PARK PL, GREEN BAY, WI 54304-1970
(920) 497-1566
Mailing address
1801 W WISCONSIN AVE, MILWAUKEE, WI 53233-2186

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002545
WI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/18/2021
Last updated
06/23/2022
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