Individual
DR. CARMEN MARIE BOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS, BLDG H 2005 KNIGHT LANE, JACKSONVILLE, FL 32212-0140
(760) 725-3213
Mailing address
2274 MONTIA PL, ESCONDIDO, CA 92029-5604
(701) 240-8191
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14399
MN
124Q00000X
Dental Hygienist
1092
ND
124Q00000X
Dental Hygienist
7502
MN
124Q00000X
Dental Hygienist
905050
CO
Other
Enumeration date
12/07/2006
Last updated
07/06/2020
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