Provider Demographics
NPI:1366849689
Name:BORDERS ADMINISTRATORS INC
Entity Type:Organization
Organization Name:BORDERS ADMINISTRATORS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:PABLO
Authorized Official - Last Name:ENG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:619-482-0200
Mailing Address - Street 1:374 E H ST
Mailing Address - Street 2:SUITE A-494
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-7484
Mailing Address - Country:US
Mailing Address - Phone:619-482-0200
Mailing Address - Fax:619-489-2661
Practice Address - Street 1:374 EAST H ST A-494
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-7484
Practice Address - Country:US
Practice Address - Phone:619-482-0200
Practice Address - Fax:619-489-2661
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BORDERS ADMINISTRATORS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-12-02
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty