Borello, Blake

Borello, Blake is an individual health care provider with primary practice located at 6288 Ronald Reagan Dr. , Lake Saint Louis MO 63367. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Borello, Blake can be contacted via phone (636) 625-4224.

Contact Information

Primary practice address
6288 Ronald Reagan Dr. Lake Saint Louis MO 63367
Phone: (636) 625-4224
Fax: (314) 845-1864
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 2008019644 Missouri

Profile Details

NPI number 1902114515
LBN Legal business name Borello, Blake
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2010
Last updated Feb 2nd, 2011 - about 14 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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