Joseph Edwin Bork, DDS

NPI #1205962560 in Dahlonega, Georgia

Provider Information

NPI Number: 1205962560
Entity Type: Individual
Name: Joseph Edwin Bork, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Feb 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 164 CAMP WAHSEGA ROAD
City: Dahlonega
State: Georgia
ZIP Code: 30533-3237
Phone: (706) 864-4076

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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