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.
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 - DentalDental

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