Metro East Periodontics, Pllc
NPI #1801509666 in East Alton, Illinois
Provider Information
- NPI Number
- 1801509666
- Entity Type
- Organization
- Organization Name
- Metro East Periodontics, Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 26, 2022
- Last Updated
- Jan 23, 2023
Practice Location
- Address
- 160 S BELLWOOD DR STE C
- City
- East Alton
- State
- Illinois
- ZIP Code
- 62024-2086
- Phone
- (618) 258-1244
Authorized Official
- Name
- DR. KHALED SHABANY, DMD, MS
- Title
- PERIODONTIST
- Phone
- (618) 258-1244
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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