Organization
GROUP HEALTH PLAN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID S GESKO DDS (SENIOR VP/DENTAL DIRECTOR)
(952) 967-7577
Entity
Organization
Contact information
Practice address
2150 3RD AVE, SUITE 200, ANOKA, MN 55303-2206
(763) 585-7610
Mailing address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516
(952) 883-5151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10193
MN
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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