Excel Dentistry Pllc

NPI #1720413263 in Wayzata, Minnesota

Provider Information

NPI Number: 1720413263
Entity Type: Organization
Organization Name: Excel Dentistry Pllc
Primary Specialty: Dentist
Enumeration Date: Sep 3, 2013
Last Updated: Sep 3, 2013

Practice Location

Address: 1421 WAYZATA BLVD
Address 2: SUITE 320
City: Wayzata
State: Minnesota
ZIP Code: 55391-1939
Phone: (952) 475-2907

Authorized Official

Name: ALEKSANDR SHIBKO, DDS
Title: PARTNER
Phone: (952) 746-3233

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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