Ghassemzadeh Borguet, Milita
Ghassemzadeh Borguet, Milita is an sole proprietor health care provider with primary practice located at 110 N Essex Ave , Narberth PA 19072-2206. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Ghassemzadeh Borguet, Milita can be contacted via phone (610) 664-9510.Contact Information
Primary practice address
110 N Essex Ave
Narberth PA 19072-2206
Phone: (610) 664-9510
Fax: (610) 664-8468
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 18105 | New Jersey |
| Dental Providers / Periodontics | 1223P0300X | DS027843L | Pennsylvania |
Profile Details
| NPI number | 1124139647 |
|---|---|
| LBN Legal business name | Ghassemzadeh Borguet, Milita |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Oct 14th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124139647 | NPPES |
| Pennsylvania | Other | 776058 | BLUE CROSS BLUE SHEILD |
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