Bolmgren, Gary Alan

Bolmgren, Gary Alan is an sole proprietor health care provider with primary practice located at 381 Southdale Medical Center 6545 France Ave. S., Edina MN 55435-2121. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Bolmgren, Gary Alan can be contacted via phone (952) 926-7766.

Contact Information

Primary practice address
381 Southdale Medical Center 6545 France Ave. S. Edina MN 55435-2121
Phone: (952) 926-7766
Fax: (952) 926-2037
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 9129 Minnesota

Profile Details

NPI number 1215157631
LBN Legal business name Bolmgren, Gary Alan
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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