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Individual

DINO J BORDINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
400 S TOWNLINE RD - BOX 1440, WAUTOMA, WI 54982-1440
(920) 787-5514
Mailing address
400 S TOWNLINE RD - BOX 1440, WAUTOMA, WI 54982-1440
(920) 787-5514

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3133
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33461900
WI
Enumeration date
04/10/2007
Last updated
10/31/2008
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