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Organization

GROUP HEALTH PLAN, INC

Active
Parent organization
GROUP HEALTH PLAN, INC
Other names
Three Rivers Orthodontics
Organization subpart
Yes

Provider details

NPI number
Legal business name
GROUP HEALTH PLAN, INC
Authorized official
DR. DAVID S GESKO DDS (SR. VP/DENTAL DIR.)
(952) 883-7577
Entity
Organization

Contact information

Practice address
2150 THIRD AVENUE, SUITE 200, ANOKA, MN 55303-2206
(763) 421-9292
(763) 421-7559
Mailing address
2150 THIRD AVENUE, SUITE 200, ANOKA, MN 55303-2206
(763) 421-9292
(763) 421-7559

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D12245
MN

Other

Enumeration date
04/27/2011
Last updated
12/29/2014
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