Organization
DOUGLAS P. BORST DDS P.C.
Active
Other names
Jenison Dental Professionals
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW PAUL BORST DDS (DENTIST)
(616) 834-0102
Entity
Organization
Contact information
Practice address
1895 GEORGETOWN CENTER DR, JENISON, MI 49428-7137
(616) 457-1610
Mailing address
1895 GEORGETOWN CENTER DR, JENISON, MI 49428-7137
(616) 457-1610
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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