Individual
GREGORY RICHARD WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10851 RHODE ISLAND AVE S, BLOOMINGTON, MN 55438-2393
(952) 884-5361
Mailing address
10851 RHODE ISLAND AVE S, BLOOMINGTON, MN 55438-2393
(952) 884-5361
(952) 949-9533
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9974
MN
Other
Enumeration date
05/01/2006
Last updated
10/01/2020
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