| NPI | 1649590829 |
|---|---|
| Other Name | EXCELLENCE DENTAL |
| Entity Type | Organization |
| Authorized Contact | DENNIS LEE NIERENGARTEN Owner/Dentist 320-255-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: MN D9004) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-06-10 |