Individual
DR. RICHARD EDWARD BORDERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2724 BRAVE RIFLES REGIMENT ROAD, HQS US ARMY DENTAL ACTIVITY, FORT KNOX, KY 40121
(502) 624-6158
Mailing address
2724 BRAVE RIFLES REGIMENT ROAD, HQS US ARMY DENTAL ACTIVITY, FORT KNOX, KY 40121
(502) 624-6158
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0009555
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009555
GENERAL DENTIST
FL
Enumeration date
04/20/2006
Last updated
07/08/2007
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