Organization
ALLIANCE DENTAL I LLC
Active
Other names
Borson Dental
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN WESTERVELT (CEO/CFO)
(801) 592-6995
Entity
Organization
Contact information
Practice address
1865 COOLIDGE HWY, BERKLEY, MI 48072-3042
(248) 398-5050
Mailing address
PO BOX 3066, ELIDA, OH 45807-0066
(419) 230-2105
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
MI
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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