NPI | 1689324311 |
---|---|
Doing Business As | METRO DENTALCARE MAPLE GROVE GROVE CIRCLE |
Entity Type | Organization |
Authorized Contact | CELIA HAYES Credentialing COO Rdinator 217-540-2100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Enumeration Date | 2022-03-25 |
Last Update Date | 2022-05-02 |