Individual
MARTIN HOWARD BORCHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8711 E POINT DOUGLAS RD S, COTTAGE GROVE, MN 55016-5000
(651) 379-9892
(651) 379-9893
Mailing address
6600 FRANCE AVE S STE 415, EDINA, MN 55435-1817
(952) 224-9771
(952) 224-9790
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4567015
WI
122300000X
Dentist
Primary
D11739
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
549720500
—
MN
Enumeration date
04/24/2006
Last updated
06/19/2008
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