Individual
DR. BRIAN M GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8600 NICOLLET AVENUE, BLOOMINGTON, MN 55420-2284
(763) 585-8700
(763) 585-8704
Mailing address
8600 NICOLLET AVENUE, BLOOMINGTON, MN 55420-2284
(952) 541-2888
(952) 541-2889
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12805
MN
Other
Enumeration date
06/01/2010
Last updated
07/16/2014
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