Martin J Borrok Dmd PC
Clinic/Center in Kirksville, MO. Organization (NPI-2).
NPI number1417011180
StatusActive
Last updated in NPPESJun 17, 2008
Details
- NPI
- 1417011180
- Entity type
- Organization (NPI-2)
- Legal business name
- Martin J Borrok Dmd PC
- Organization subpart
- No
- Enumeration date
- Dec 20, 2006
- Last updated
- Jun 17, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 11521 | MO | Yes |
Other names
- M J Borrok Dmd PC (Doing Business As)
Practice location
705 E Laharpe StKirksville, MO 63501-4526
Phone 660-665-9279
Mailing address
Po Box 723Kirksville, MO 63501-0723
Phone 660-665-9279
Authorized official
Martin Borrok
Owner
6606659279
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