Excel Dentistry

NPI 1073789913 - Dentist - 1223G0001X

NPI Details
NPI 1073789913
Enumeration Date 04/30/2008
Last Updated 08/12/2009
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name HATEM HATEM
Position TREASURER
Phone (952) 746-3233
Fax (952) 746-3235
Practice Location
8001 HIGHWAY 7
SUITE 100
ST LOUIS PARK MN, 55426-3942, US
Phone (952) 746-3233
Fax (952) 746-3235
Business Location
8001 HIGHWAY 7
SUITE 100
ST LOUIS PARK MN, 55426-3942, US
Phone (952) 746-3233
Fax (952) 746-3235
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number D11992
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According to our database, Excel Dentistry NPI is 1073789913, taxonomy code is 1223G0001X and license number is D11992, license state is located at Minnesota. Excel Dentistry physically located at 8001 Highway 7, St Louis Park MN, 55426-3942. NPI Number 1033115704 has the healthcare provider type.

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1073789913 NPI number is provided on an as is basis without warranty of any kind. 1073789913 is maintained by the National Plan & Provider Enumeration System. The contents of Excel Dentistry are for informational purposes only.