Individual
DR. GARY ALAN BOLMGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
381 SOUTHDALE MEDICAL CENTER, 6545 FRANCE AVE. S., EDINA, MN 55435-2121
(952) 926-7766
(952) 926-2037
Mailing address
381 SOUTHDALE MEDICAL CENTER, 6545 FRANCE AVE. S., EDINA, MN 55435-2121
(952) 926-7766
(952) 926-2037
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9129
MN
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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