| Dr Blake Borello, DDS, MS | |
|
6288 Ronald Reagan Dr., Lake Saint Louis, MO 63367 | |
| (636) 625-4224 | |
| (314) 845-1864 |
| Full Name | Dr Blake Borello |
|---|---|
| Gender | Male |
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6288 Ronald Reagan Dr., Lake Saint Louis, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902114515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 2008019644 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Blake Borello, DDS, MS 1203 Saint Charles St, Apt. 5a, Saint Louis, MO 63103-1963 Ph: (636) 625-4224 | Dr Blake Borello, DDS, MS 6288 Ronald Reagan Dr., Lake Saint Louis, MO 63367 Ph: (636) 625-4224 |
Dr. Gregory A. Luerding, DDS Dentist Medicare: Medicare Enrolled Practice Location: 104 Brevco Plz, Lake Saint Louis, MO 63367 Phone: 636-561-9000 | |
Dr. Angela Kay Pernoud, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8631 Highway N, Lake Saint Louis, MO 63367 Phone: 636-561-4540 |