| Gentle Dentistry Of Bloomington Pllc | |
|
10611 France Ave S Ste 201 Bloomington MN 55431-3554 | |
| (952) 881-8404 | |
| Not Available |
| Full Name | Gentle Dentistry Of Bloomington Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10611 France Ave S Ste 201, Bloomington, Minnesota |
| Authorized Official Name and Position | Robert L Bodin (PRESIDENT) |
| Authorized Official Contact | 9528818404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gentle Dentistry Of Bloomington Pllc 10611 France Ave S Ste 201 Bloomington MN 55431-3554 Ph: (952) 881-8404 | Gentle Dentistry Of Bloomington Pllc 10611 France Ave S Ste 201 Bloomington MN 55431-3554 Ph: (952) 881-8404 |
| NPI Number | 1154971380 |
|---|---|
| Provider Enumeration Date | 09/19/2019 |
| Last Update Date | 10/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154971380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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