GREGORY JOHN POVOLNY

BLAINE, MN
NPI1376680009
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MN  8811)
Enumeration Date2007-01-31
Last Update Date2007-07-08
Business Address
Dr. GREGORY JOHN POVOLNY D.D.S.
9120 BALTIMORE ST NE
BLAINE, MN 55449-4337
Phone number: 763-786-1560
Mailing Address
Dr. GREGORY JOHN POVOLNY D.D.S.
3527 GLEN OAKS AVE
WHITE BEAR LAKE, MN 55110-5661
Phone number: 651-777-8427