| NPI | 1063512234 |
|---|---|
| Doing Business As | METRO DENTALCARE SPECIALTY CENTER RICHFIELD - PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | BELINDA HUERTA Credentialing Coordinator 217-540-2100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2022-08-10 |