Individual
DR. KATHERINE MARIE BORELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
45 S PARK BLVD, SUITE 224, GLEN ELLYN, IL 60137-6280
(630) 942-0323
(630) 942-0467
Mailing address
45 S PARK BLVD, SUITE 224, GLEN ELLYN, IL 60137-6280
(630) 942-0323
(630) 942-0467
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019028464
IL
1223G0001X
General Practice Dentistry
Primary
019028464
IL
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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