Individual
MARTIN BORROK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1310 CROWN DR, KIRKSVILLE, MO 63501-2526
(660) 341-4236
Mailing address
16982 STATE HIGHWAY DD, NOVINGER, MO 63559-2607
(660) 341-4236
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11521
MO
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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