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NPI Code Detail

MEDICARE: DR. EDWARD ANTHONY BORIO DDS

MEDICARE:  DR. EDWARD ANTHONY BORIO  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist12892MI

General Provider Information

NPI Number : 1578566881
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDWARD ANTHONY BORIO DDS
Provider Business Mailing Address
First Line : 50 W BIG BEAVER RD
Second Line : STE 100B
City : BLOOMFIELD HILLS
State : MI
Zip : 48304-3917
Country : US
Telephone Number : 248-644-1955
Fax Number : 248-644-0060
Provider Business Practice Location Address
First Line : 50 W BIG BEAVER RD
Second Line : STE 100B
City : BLOOMFIELD HILLS
State : MI
Zip : 48304-3917
Country : US
Telephone Number : 248-644-1955
Fax Number : 248-644-0060
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 07/08/2007

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Directions to “ DR. EDWARD ANTHONY BORIO DDS” Practice Location

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