| NPI | 1700975216 |
|---|---|
| Doing Business As | THREE RIVERS ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | DAVID S GESKO Dental Div/Sr VP 952-883-7577 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MN 9652) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MN 9652MN) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2014-12-29 |