Charles Wayne Borden, D.M.D Valid NPI
Individual provider · General Practice Dentistry · Moulton, AL
- NPI
- 1518047455
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 3078 (AL)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-10-16
- Last updated
- 2007-09-19
Practice location
627 Lawrence St
Moulton, AL 35650-1532
(256) 974-4481