Individual
COREY ISAAC BORNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1959 NE PACIFIC ST # 357134, SEATTLE, WA 98195-0001
(707) 326-7181
Mailing address
1959 NE PACIFIC STREET, BOX 357134, SEALLTE, WA 98195
(707) 326-7181
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DR60949761
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W220333809
AETNA
CA
Enumeration date
03/23/2019
Last updated
07/02/2019
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