Pdg, P.a.

NPI #1104985456 in Roseville, Minnesota

Provider Information

NPI Number: 1104985456
Entity Type: Organization
Organization Name: Pdg, P.a.
Subpart: Yes (part of a larger organization)
Parent Organization: PDG, P.A.
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 6, 2006
Last Updated: Oct 28, 2020

Practice Location

Address: 1835 CTY RD C-WEST
Address 2: SUITE 220
City: Roseville
State: Minnesota
ZIP Code: 55113-1343
Phone: (651) 636-2123

Authorized Official

Name: DR. JOHN GULON, D.D.S.
Title: PRESIDENT
Phone: (651) 633-0500

Specialties & Taxonomy Codes

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

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