| NPI | 1336430149 |
|---|---|
| Doing Business As | THREE RIVERS ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | DAVID S GESKO Sr. VP/Dental Dir. 952-883-7577 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MN D12245) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2014-12-29 |