Healthcare Provider Details

I. General information

NPI: 1881805448
Provider Name (Legal Business Name): KATARZYNA BOROWSKI DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9628 CAMPO RD SUITE R
SPRING VALLEY CA
91977
US

IV. Provider business mailing address

9628 CAMPO RD SUITE R
SPRING VALLEY CA
91977
US

V. Phone/Fax

Practice location:
  • Phone: 619-463-9901
  • Fax: 619-463-1667
Mailing address:
  • Phone: 619-463-9901
  • Fax: 619-463-1667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number44293
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: