Individual
DR. KEILY LESLIE BORGELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9 TRI PARK WAY, APPLETON, WI 54914-1661
(920) 882-5500
Mailing address
8435 MARLO AVE UNIT 7, NEENAH, WI 54956-0007
(561) 410-4713
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001833-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2025
Last updated
06/07/2025
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