| NPI | 1538213566 |
|---|---|
| Doing Business As | HEALTHPARTNERS ST. CLOUD DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | DAVID S GESKO Dental Director And Sr. Vice Presid 952-883-7577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2012-02-08 |