Dr. Igor Borisov, DMD
Dentist in Maricopa, AZ. Individual provider (NPI-1).
NPI number1215596705
StatusActive
Last updated in NPPESJun 10, 2019
Details
- NPI
- 1215596705
- Entity type
- Individual (NPI-1)
- Name
- Dr. Igor Borisov
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 10, 2019
- Last updated
- Jun 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | D010359 | AZ | Yes |
Practice location
44480 W Honeycutt Rd Ste 110Maricopa, AZ 85138-2909
Phone 520-568-9100
Mailing address
1155 W Elliot Rd Apt 3113Tempe, AZ 85284-1184
Phone 410-905-9992
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