League, Gary Alan

League, Gary Alan is an individual health care provider with primary practice located at 2112 Nw Viking Drive , Rochester MN 55901-3522. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Dentist is his primary health care specialty. League, Gary Alan can be contacted via phone (507) 288-1028.

Contact Information

Primary practice address
2112 Nw Viking Drive Rochester MN 55901-3522
Phone: (507) 288-1028
Fax: (507) 288-2243
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D7631 Minnesota
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X D7631 Minnesota

Profile Details

NPI number 1639282056
LBN Legal business name League, Gary Alan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
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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