NPI | 1528716966 |
---|---|
Doing Business As | METRO DENTALCARE MAPLE GROVE BASS LAKE |
Entity Type | Organization |
Authorized Contact | CELIA HAYES Credentialing Coordinator 217-540-2100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-03-15 |
Last Update Date | 2022-03-15 |