Individual
DR. GEORGE EDWARD BORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
50 W BIG BEAVER RD STE 215, BLOOMFIELD HILLS, MI 48304-3912
(248) 647-0696
Mailing address
5000 HEATHER DR APT 206, DEARBORN, MI 48126-4176
(989) 513-6312
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN1857608
MA
Other
Enumeration date
06/27/2017
Last updated
07/22/2020
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