Individual
DR. WENDY MAY BORUSZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
NAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE, PORTSMOUTH, VA 23708
(757) 953-8579
Mailing address
NAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE, PORTSMOUTH, VA 23708
(757) 953-8579
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
37977
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122300000X
GENERAL DENTIST
CA
Enumeration date
12/21/2005
Last updated
05/04/2020
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