Organization
GROUP HEALTH PLAN, INC
Active
Organization
GROUP HEALTH PLAN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID S GESKO DDS (DENTAL DIRECTOR AND SENIOR VP)
(952) 883-7577
Entity
Organization
Contact information
Practice address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516
(982) 883-5151
Mailing address
PO BOX 1309, MAILSTOP 21113A, MINNEAPOLIS, MN 55440-1309
(952) 883-5151
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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