Individual
DR. CHARLES SEYMOUR BORDEN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
724 SAINT LOUIS RD, COLLINSVILLE, IL 62234-2032
(618) 344-8533
Mailing address
4918 MILLER LN, EDWARDSVILLE, IL 62025-5866
(618) 692-9096
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2003018445
MO
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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