Individual
DOUGLAS PAUL BORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1895 GEORGETOWN CENTER DR, JENISON, MI 49428-7137
(616) 457-1610
(616) 457-1148
Mailing address
1895 GEORGETOWN CENTER DR, JENISON, MI 49428-7137
(616) 457-1610
(616) 457-1148
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901014762
MI
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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