Individual
DR. IGOR BORISOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
44480 W HONEYCUTT RD STE 110, MARICOPA, AZ 85138-2909
(520) 568-9100
Mailing address
1155 W ELLIOT RD APT 3113, TEMPE, AZ 85284-1184
(410) 905-9992
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D010359
AZ
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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