| NPI | 1558764597 |
|---|---|
| Doing Business As | HEALTHPARTNERS PLYMOUTH DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | DAVID S GESKO Senior VP/Dental Director 952-883-7577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 12465) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MN 12245) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2014-10-13 |