Organization
GROUP HEALTH PLAN, INC.
Active
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 (DENTAL DIV/SR VP)
(952) 883-7577
Entity
Organization
Contact information
Practice address
1395 CURVE CREST BLVD, STILLWATER, MN 55082
(651) 439-1966
(651) 439-7555
Mailing address
1395 CURVE CREST BLVD, STILLWATER, MN 55082
(651) 439-1966
(651) 439-7555
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9652
MN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
9652MN
MN
Other
Enumeration date
10/12/2006
Last updated
12/29/2014
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