NPI | 1013017177 |
---|---|
Doing Business As | METRO DENTALCARE CHILDREN'S DENTISTRY BURNSVILLE |
Entity Type | Organization |
Authorized Contact | CELIA HAYES Credentialing Coordinator 217-540-2100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2006-09-25 |
Last Update Date | 2022-04-27 |