Organization
ADVANCED DENTAL CARE OF THE MIDWEST, LTD
Active
Other names
Metro West Dental & Implant Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALED SHABANY DMD, MS (OWNER/PERIODONTIST)
(314) 755-1542
Entity
Organization
Contact information
Practice address
443 N NEW BALLAS RD STE 244, CREVE COEUR, MO 63141-6800
(314) 755-1542
Mailing address
443 N NEW BALLAS RD STE 244, CREVE COEUR, MO 63141-6800
(314) 755-1542
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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