| G2 South Pllc | |
|
5846 Blackshire Path Inver Grove Heights MN 55076 | |
| (651) 389-1133 | |
| (651) 464-1135 |
| Full Name | G2 South Pllc |
|---|---|
| Speciality | Dentist |
| Location | 5846 Blackshire Path, Inver Grove Heights, Minnesota |
| Authorized Official Name and Position | Tracey Michelle Koch (PRACTICE DIRECTOR) |
| Authorized Official Contact | 6514642248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| G2 South Pllc 5846 Blackshire Path Inver Grove Heights MN 55076 Ph: (651) 389-1133 | G2 South Pllc 5846 Blackshire Path Inver Grove Heights MN 55076 Ph: (651) 389-1133 |
| NPI Number | 1023127388 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023127388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Minnesota) | Primary |
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