Individual
LILIAN BORJA MARTIN-VENTURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
943 S IRBY ST, STE A, FLORENCE, SC 29501-5238
(843) 673-0075
Mailing address
415 N GRAND AVE, PUEBLO, CO 81003-3111
(719) 562-4461
(719) 584-7694
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4421
SC
Other
Enumeration date
02/22/2006
Last updated
12/28/2007
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