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Contact Information

WAEL BORHAM, DDS
608 S ALAMEDA BLVD
LAS CRUCES, NM88005-2817
 Phone: 575-523-5589
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for WAEL BORHAM · (Male)

NPI # 1700131190
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/21/2012
Last updated 05/28/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 61443
  • NM License # DD4473
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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