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Organization
GROUP HEALTH PLAN, INC
Active
Organization
GROUP HEALTH PLAN, INC
Active
Other names
HealthPartners St. Cloud Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID S GESKO DDS (DENTAL DIRECTOR AND SR. VICE PRESID)
(952) 883-7577
Entity
Organization
Contact information
Practice address
2251 CONNECTICUT AVE, HEALTHPARTNERS CENTRAL MN CLINIC - DENTAL, SARTELL, MN 56337-4772
(320) 253-5824
(320) 203-2076
Mailing address
8100 34TH AVE S, 21113A, BLOOMINGTON, MN 55425-1672
(952) 883-5151
(952) 883-5160
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7477163-00
—
MN
Enumeration date
01/23/2007
Last updated
02/08/2012
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