NPI | 1003919218 |
---|---|
Doing Business As | BORELLO FAMILY DENTAL LLC |
Entity Type | Organization |
Authorized Contact | JAMIE M SKINNER Office Manager 636-724-2044 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2006-09-06 |
Last Update Date | 2024-12-02 |