Organization
BLOOMINGTON FAMILY DENTAL, PLLC
Active
Other names
Bloomington Family Dental, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN M GRAY DDS (OWNER/DENTIST)
(952) 856-0089
Entity
Organization
Contact information
Practice address
9820 NICOLLET AVE S, BLOOMINGTON, MN 55420
(952) 856-0089
Mailing address
9820 NICOLLET AVE S, BLOOMINGTON, MN 55420
(952) 856-0089
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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