Provider Demographics
NPI:1437294097
Name:BOROWSKI, VICKI A (DDS)
Entity Type:Individual
Prefix:DR
First Name:VICKI
Middle Name:A
Last Name:BOROWSKI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17300 PRESTON RD STE 100
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-5636
Mailing Address - Country:US
Mailing Address - Phone:972-380-6223
Mailing Address - Fax:972-248-6560
Practice Address - Street 1:17300 PRESTON RD STE 100
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-5636
Practice Address - Country:US
Practice Address - Phone:972-380-6223
Practice Address - Fax:972-248-6560
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15292122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist