Organization
BORELLO FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE M SKINNER (OFFICE MANAGER)
(636) 724-2044
Entity
Organization
Contact information
Practice address
993 HERITAGE PARKWAY, SUITE A/B, WENTZVILLE, MO 63385-3748
(636) 332-2044
Mailing address
993 HERITAGE PARKWAY, SUITE A/B, WENTZVILLE, MO 63385-3748
(636) 332-2044
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/23/2016
Last updated
12/02/2024
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