Organization
BRUCE A BORETSKY DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE A BORETSKY DMD (PERIODONTIST)
(706) 653-2600
Entity
Organization
Contact information
Practice address
7310 N LAKE DR, SUITE C, COLUMBUS, GA 31909-2787
(706) 653-2600
(706) 494-1000
Mailing address
7310 N LAKE DR, SUITE C, COLUMBUS, GA 31909-2787
(706) 653-2600
(706) 494-1000
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN012109
GA
Other
Enumeration date
05/04/2007
Last updated
01/24/2013
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