John Steven Borello, D.D.S. Valid NPI

Individual provider · Periodontics · Glen Ellyn, IL

NPI

1629149752

Type

Individual (Type 1)

Primary specialty

Periodontics (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223P0300X

Sex

Male

Sole proprietor

Yes

Enumerated

2006-11-12

Last updated

2007-07-08