Booneville Family Dental, Pllc
NPI #1376081588 in Booneville, Arkansas
Provider Information
- NPI Number
- 1376081588
- Entity Type
- Organization
- Organization Name
- Booneville Family Dental, Pllc
- Primary Specialty
- Dentist
- Enumeration Date
- Feb 8, 2017
- Last Updated
- Feb 8, 2017
Practice Location
- Address
- 1057 W MAIN ST
- City
- Booneville
- State
- Arkansas
- ZIP Code
- 72927-3403
- Phone
- (479) 719-1373
Authorized Official
- Name
- DR. JAMES WESLEY BORENGASSER, D.D.S.
- Title
- OWNER
- Phone
- (479) 719-1373
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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