| NPI | 1801509666 |
|---|---|
| Doing Business As | METRO EAST DENTAL IMPLANTS & PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | KHALED SHABANY Periodontist 618-258-1244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2022-12-26 |
| Last Update Date | 2023-01-23 |