Provider Demographics
NPI:1518386689
Name:ANJULI BORDEN D.D.S., P.C.
Entity Type:Organization
Organization Name:ANJULI BORDEN D.D.S., P.C.
Other - Org Name:RIDGELINE FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANJULI
Authorized Official - Middle Name:
Authorized Official - Last Name:BORDEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-594-0809
Mailing Address - Street 1:11550 RIDGELINE DR
Mailing Address - Street 2:STE. 112
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80921-3953
Mailing Address - Country:US
Mailing Address - Phone:303-594-0809
Mailing Address - Fax:
Practice Address - Street 1:11550 RIDGELINE DR
Practice Address - Street 2:STE. 112
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80921-3953
Practice Address - Country:US
Practice Address - Phone:303-594-0809
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.00010758261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental