Organization
EXCELSIOR DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY HILLMAN (FRONT DESK MANAGER)
(218) 829-8863
Entity
Organization
Contact information
Practice address
7814 EXCELSIOR RD, BAXTER, MN 56425-8427
(218) 829-8863
(218) 829-8863
Mailing address
7814 EXCELSIOR RD, BAXTER, MN 56425-8427
(218) 829-8863
(218) 829-8863
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
9105
MN
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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