Organization
GROUP HEALTH PLAN INC
Active
Other names
HealthPartners Blaine Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN M COONEY (CAO)
(952) 883-7565
Entity
Organization
Contact information
Practice address
10961 CLUB WEST PKWY, BLAINE, MN 55449-4671
(763) 780-1292
(952) 967-5311
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
Enumeration date
01/23/2007
Last updated
08/22/2020
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