Organization · Type 2 NPI
Borello Orthodontics
Dental Clinic/Center · Lake St. Louis, MO
NPI number
1326356304
Active
Practice location
6288 Ronald Reagan Dr.
Lake St. Louis, MO 63367
Mailing address
1203 Saint Charles St, Apt. 5A
St. Louis, MO 63103-1963
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 2008019644 (MO) |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Lake St. Louis
About NPI 1326356304
Borello Orthodontics's National Provider Identifier is 1326356304, issued on Sep 23, 2010. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Lake St. Louis, MO. The record was last updated on Feb 2, 2011.