Individual
ALEXIS LAIN BORGESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
645 WACHESAW RD, MURRELLS INLET, SC 29576-5633
(843) 357-9845
Mailing address
645 WACHESAW RD, MURRELLS INLET, SC 29576-5633
(843) 357-9845
(843) 357-9847
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DGD.10578
SC
Other
Enumeration date
02/12/2021
Last updated
07/20/2023
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