Organization
GROUP HEALTH PLAN, INC
Active
Parent organization
GROUP HEALTH PLAN, INC
Other names
Three Rivers Dental Care
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
1395 CURVE CREST BLVD W, STILLWATER, MN 55082-6069
(651) 430-0036
(651) 430-0191
Mailing address
1395 CURVE CREST BLVD W, STILLWATER, MN 55082-6069
(651) 430-0036
(651) 430-0191
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10039
MN
Other
Enumeration date
05/23/2007
Last updated
12/29/2014
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