Organization
ROCHESTER ENDODONTICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD J GRAY DDS, MS (PRESIDENT)
(507) 272-4912
Entity
Organization
Contact information
Practice address
116 ELTON HILLS LN NW, SUITE 100, ROCHESTER, MN 55901-3602
(507) 288-8363
(507) 288-4456
Mailing address
116 ELTON HILLS LN NW, SUITE 100, ROCHESTER, MN 55901-3602
(507) 288-8363
(507) 288-4456
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D11595
MN
1223E0200X
Endodontics
D13634
MN
1223E0200X
Endodontics
D8111
MN
Other
Enumeration date
09/11/2012
Last updated
08/09/2016
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