| NPI | 1538424577 |
|---|---|
| Doing Business As | BELTLINE DENTAL |
| Entity Type | Organization |
| Authorized Contact | EMILEE CLARK Credentialing Manager 618-207-3405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019025281) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2025-03-24 |