Provider Demographics
NPI:1154342541
Name:BORAZ, ROBERT ALAN (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ALAN
Last Name:BORAZ
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:18801 E MAIN ST
Mailing Address - Street 2:SUITE 150
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-3473
Mailing Address - Country:US
Mailing Address - Phone:303-841-7900
Mailing Address - Fax:303-841-1290
Practice Address - Street 1:18801 E MAIN ST
Practice Address - Street 2:SUITE 150
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-3473
Practice Address - Country:US
Practice Address - Phone:303-841-7900
Practice Address - Fax:303-841-1290
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO1040491223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry