Organization
KELLEY L. BORDERS, D.M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLEY LYNN BORDERS D.M.D. (PRESIDENT DENTIST)
(813) 334-3798
Entity
Organization
Contact information
Practice address
1708 S ALEXANDER ST, SUITE A, PLANT CITY, FL 33563-8411
(813) 752-5600
Mailing address
1708 S ALEXANDER ST, SUITE A, PLANT CITY, FL 33563-8411
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN16284
FL
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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