Organization
EXCEL DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEKSANDR SHIBKO DDS (PARTNER)
(952) 746-3233
Entity
Organization
Contact information
Practice address
1421 WAYZATA BLVD, SUITE 320, WAYZATA, MN 55391-1939
(952) 475-2907
(952) 475-2343
Mailing address
1421 WAYZATA BLVD, SUITE 320, WAYZATA, MN 55391-1939
(952) 475-2907
(952) 475-2343
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12180
MN
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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