| NPI | 1801173489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID S GESKO Dental Director And Senior VP 952-883-7577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2011-11-09 |