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Organization

EXCEL DENTISTRY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HATEM ALASSY (PARTNER)
(952) 746-3233
Entity
Organization

Contact information

Practice address
6563 LAKETOWNE PL, STE. A, ALBERTVILLE, MN 55301-4510
(952) 746-3233
Mailing address
6563 LAKETOWN PLACE, #A, ALBERTVILLE, MN 55301

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11992
MN

Other

Enumeration date
08/21/2009
Last updated
08/21/2009
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