DR. Russell D. Borth
NPI #1154476240 in Corpus Christi, Texas
Provider Information
- NPI Number
- 1154476240
- Entity Type
- Individual
- Name
- DR. Russell D. Borth
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 25, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 5756 S STAPLES ST
- Address 2
- SUITE B
- City
- Corpus Christi
- State
- Texas
- ZIP Code
- 78413-3782
- Phone
- (361) 994-5414
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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