Individual
DR. GREG T WALLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5001 AMERICAN BLVD W, SUITE 905, BLOOMINGTON, MN 55437-1108
(952) 835-2888
(952) 835-0777
Mailing address
5001 AMERICAN BLVD W, SUITE 905, BLOOMINGTON, MN 55437-1108
(952) 835-2888
(952) 835-0777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7369
MN
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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