Individual
IGOR SHILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7710 BROOKLYN BLVD FL 1, BROOKLYN PARK, MN 55443-2979
(651) 292-9331
Mailing address
3730 W BROADWAY AVE UNIT 219, ROBBINSDALE, MN 55422-3678
(651) 515-0380
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14960
MN
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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