NPI | 1487303889 |
---|---|
Doing Business As | METRO DENTALCARE SPECIALTY CENTER MAPLE GROVE - PERIODONTICS |
Entity Type | Organization |
Authorized Contact | CELIA HAYES Credentialing Coordinator 217-540-2100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0300X Dentist, Periodontics |
Enumeration Date | 2022-03-22 |
Last Update Date | 2022-03-22 |