Individual
BROOKE BORUSIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3455 AIRFRAME DR, NORTH CHARLESTON, SC 29418
(843) 925-9296
Mailing address
219 FORT ST, SUMMERVILLE, SC 29485-8387
(843) 302-2817
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10412
SC
Other
Enumeration date
05/25/2020
Last updated
05/25/2020
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