Individual
ELISE BORJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3712 KADOW ST, MANITOWOC, WI 54220-5450
(920) 684-8033
Mailing address
3712 KADOW ST, MANITOWOC, WI 54220-5450
(920) 684-8033
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002215-15
WI
Other
Enumeration date
04/11/2019
Last updated
12/15/2025
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