| Borello Orthodontics | |
|
6288 Ronald Reagan Dr. Lake Saint Louis MO 63367 | |
| (636) 625-4224 | |
| Not Available |
| Full Name | Borello Orthodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6288 Ronald Reagan Dr., Lake Saint Louis, Missouri |
| Authorized Official Name and Position | Blake Borello (OWNER) |
| Authorized Official Contact | 6366254224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Borello Orthodontics 1203 Saint Charles St Apt. 5a Saint Louis MO 63103-1963 Ph: (636) 625-4224 | Borello Orthodontics 6288 Ronald Reagan Dr. Lake Saint Louis MO 63367 Ph: (636) 625-4224 |
| NPI Number | 1326356304 |
|---|---|
| Provider Enumeration Date | 09/23/2010 |
| Last Update Date | 02/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326356304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2008019644 (Missouri) | Primary |
Missouri Dental Professionals, Richard Straus, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6492 Ronald Reagan Dr, Lake Saint Louis, MO 63367 Phone: 636-626-2071 Fax: 636-626-2073 | |
Brevco Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Brevco Plaza, Suite 104, Lake Saint Louis, MO 63367 Phone: 636-561-9000 Fax: 636-561-9001 |