Pdg, PA
NPI #1073904223 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1073904223
- Entity Type
- Organization
- Organization Name
- Pdg, PA
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 10, 2015
- Last Updated
- Oct 28, 2020
Practice Location
- Address
- 91 SNELLING AVE N
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55104-6753
- Phone
- (651) 646-3735
Authorized Official
- Name
- DR. JOHN GULON
- Title
- PRESIDENT
- Phone
- (651) 633-0500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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