DR. Charles Wayne Borden, D.M.D

NPI #1518047455 in Moulton, Alabama

Provider Information

NPI Number: 1518047455
Entity Type: Individual
Name: DR. Charles Wayne Borden, D.M.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D
Enumeration Date: Oct 16, 2006
Last Updated: Sep 19, 2007

Practice Location

Address: 627 LAWRENCE ST
City: Moulton
State: Alabama
ZIP Code: 35650-1532
Phone: (256) 974-4481

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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