Borello Orthodontics
NPI #1326356304 in Lake Saint Louis, Missouri
Provider Information
- NPI Number
- 1326356304
- Entity Type
- Organization
- Organization Name
- Borello Orthodontics
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 23, 2010
- Last Updated
- Feb 2, 2011
Practice Location
- Address
- 6288 RONALD REAGAN DR.
- City
- Lake Saint Louis
- State
- Missouri
- ZIP Code
- 63367
- Phone
- (636) 625-4224
Authorized Official
- Name
- DR. BLAKE BORELLO, D.D.S., M.S.
- Title
- OWNER
- Phone
- (636) 625-4224
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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