Boren, Carmen Marie
Boren, Carmen Marie is an individual health care provider with primary practice located at Navy Medicine Support Command Attn: Medical Staff Svcs Bldg H 2005 Knight Lane, Jacksonville FL 32212-0140. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Hygienist, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Boren, Carmen Marie can be contacted via phone (760) 725-3213.Contact Information
Primary practice address
Navy Medicine Support Command Attn: Medical Staff Svcs Bldg H 2005 Knight Lane
Jacksonville FL 32212-0140
Phone: (760) 725-3213
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 1092 | North Dakota |
| Dental Providers / Dental Hygienist | 124Q00000X | 7502 | Minnesota |
| Dental Providers / Dental Hygienist | 124Q00000X | 905050 | Colorado |
| Dental Providers / Dentist | 122300000X | D14399 | Minnesota |
Profile Details
| NPI number | 1679632418 |
|---|---|
| LBN Legal business name | Boren, Carmen Marie |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2006 |
| Last updated | Jul 6th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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