GROUP HEALTH PLAN, INC.
Organization (NPI-2)
Active
Dentist
Provider Information
- NPI Number
1093261190- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 8515 EAGLE POINT BLVD, LAKE ELMO, MN, 550428624
- Phone
- (651) 523-9950
Specialties & Taxonomies
Dentist, Endodontics
License: MN #11843
Dentist, General Practice
License: MN #11843
Dentist, Pediatric Dentistry
License: MN #11316
Dentist, Periodontics
License: MN #10028
Dentist, Prosthodontics
License: MN #10265
Dentist, Oral and Maxillofacial Surgery
License: MN #11315
Dentist, Orthodontics and Dentofacial Orthopedics
License: MN #9812
Oral Medicine
License: MN #12047
Dentist
Primary License: MN #10265