Individual
ANTONINA BORISOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2205 FRANCISCO DR STE 150, EL DORADO HILLS, CA 95762-3943
(916) 934-0207
Mailing address
1062 VIA TREVISO, EL DORADO HILLS, CA 95762
(916) 532-1963
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
112331
CA
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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