Individual
MR. MICHAEL STEPHEN BORZELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2000 SOUTH MAIN STREET, EUREKA, IL 61530-1663
(309) 467-3515
(309) 467-3122
Mailing address
2205 OAK DRIVE, EUREKA, IL 61530-1646
(309) 467-2482
(309) 467-3122
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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