| NPI | 1710344494 |
|---|---|
| Doing Business As | BLOOMINGTON SMILES DENITSTRY |
| Entity Type | Organization |
| Authorized Contact | PAUL S GEBHART Owner 952-679-3531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |