Group Health Plan INC

NPI #1043365208 in Maplewood, Minnesota

Provider Information

NPI Number: 1043365208
Entity Type: Organization
Organization Name: Group Health Plan INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 25, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 2165 WHITE BEAR AVE N
City: Maplewood
State: Minnesota
ZIP Code: 55109-2707
Phone: (651) 770-8828

Authorized Official

Name: KATHLEEN M COONEY
Title: CAO
Phone: (952) 883-7565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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