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Organization

METRO IMPLANT & SURGERY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANA LIFRITZ (MANAGER)
(636) 578-5027
Entity
Organization

Contact information

Practice address
3601 N BELT W STE A, BELLEVILLE, IL 62226-5937
(618) 235-9101
(618) 235-9101
Mailing address
1922 EDWARDSVILLE CLUB PLAZA CT, EDWARDSVILLE, IL 62025-3717
(888) 502-7339

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
12/02/2022
Last updated
12/08/2022
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