DR. Michael J Boruchov, D.D.S.

NPI #1184724379 in Holbrook, New York

Provider Information

NPI Number
1184724379
Entity Type
Individual
Name
DR. Michael J Boruchov, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Credential
D.D.S.
Enumeration Date
Sep 25, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
800 BROADWAY AVE
Address 2
SUITE A
ZIP Code
11741-4917
Phone
(631) 589-7402

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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