Individual
DR. SAMUEL JAMES BORGMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3600 W FULLERTON AVE, CHICAGO, IL 60647-2319
(773) 782-5067
Mailing address
3600 W FULLERTON AVE, CHICAGO, IL 60647-2319
(773) 782-5067
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.028702
IL
Other
Enumeration date
07/06/2011
Last updated
10/26/2011
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