Igor Borisov, DMD Valid NPI
Individual provider · Dentist · Maricopa, AZ
- NPI
- 1215596705
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- D010359 (AZ)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2019-06-10
- Last updated
- 2019-06-10
Practice location
44480 W Honeycutt Rd Ste 110
Maricopa, AZ 85138-2909
(520) 568-9100