Individual
DR. BRUCE A BORETSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7310 N LAKE DR, SUITE C, COLUMBUS, GA 31909-1698
(706) 653-2600
(706) 494-1000
Mailing address
7310 N LAKE DR, SUITE C, COLUMBUS, GA 31909-1698
(706) 653-2600
(706) 494-1000
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN012109
GA
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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