Organization
METRO DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID G GUILBEAULT (DMD)
(618) 643-9523
Entity
Organization
Contact information
Practice address
500 SAINT LOUIS RD, COLLINSVILLE, IL 62234-2437
(618) 345-6363
Mailing address
1922 EDWARDSVILLE CLUB PLAZA CT, EDWARDSVILLE, IL 62025-3717
(618) 643-9523
(618) 643-9523
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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