| Bloomington Smiles Denitstry | |
|
10700 France Avenue Suite 102 Bloomington MN 55437 | |
| (952) 679-3531 | |
| (952) 232-0484 |
| Full Name | Bloomington Smiles Denitstry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10700 France Avenue, Bloomington, Minnesota |
| Authorized Official Name and Position | Paul S Gebhart (OWNER) |
| Authorized Official Contact | 9526793531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloomington Smiles Denitstry 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Bloomington Smiles Denitstry 10700 France Avenue Suite 102 Bloomington MN 55437 Ph: (952) 679-3531 |
| NPI Number | 1710344494 |
|---|---|
| Provider Enumeration Date | 01/26/2016 |
| Last Update Date | 01/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710344494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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