| Gregory N Borganelli Dmd Pa | |
|
875 Sw State Rd 47 Lake City FL 32025 | |
| (386) 752-8200 | |
| (386) 752-8209 |
| Full Name | Gregory N Borganelli Dmd Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 875 Sw State Rd 47, Lake City, Florida |
| Authorized Official Name and Position | Gregory N Borganelli (PRESIDENT OF CORPORATION) |
| Authorized Official Contact | 3867528200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory N Borganelli Dmd Pa 875 Sw State Rd 47 Lake City FL 32025 Ph: (386) 752-8200 | Gregory N Borganelli Dmd Pa 875 Sw State Rd 47 Lake City FL 32025 Ph: (386) 752-8200 |
| NPI Number | 1184806010 |
|---|---|
| Provider Enumeration Date | 12/03/2007 |
| Last Update Date | 12/03/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184806010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN12271 (Florida) | Primary |
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