| NPI | 1326580002 |
|---|---|
| Doing Business As | EXCELLENCE IN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KENDALL B SKINNER Owner 907-274-7691 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CO 10691) |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2016-11-10 |