| NPI | 1952042053 |
|---|---|
| Doing Business As | HEALTHPARTNERS MIDWAY RESIDENCY DENTAL |
| Entity Type | Organization |
| Authorized Contact | DAVID S GESKO Senior VP 952-883-7577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| 125J00000X Dental Therapist | |
| 125K00000X Advanced Practice Dental Therapist | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 1223P0300X Dentist, Periodontics | |
| 1223P0700X Dentist, Prosthodontics | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 1223X2210X Dentist, Orofacial Pain | |
| 122300000X Dentist | |
| 1223E0200X Dentist, Endodontics | |
| 1223P0106X Dentist, Oral and Maxillofacial Pathology | |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-04-05 |