Professional Drive Dental Group P.a.

NPI #1164446282 in Northfield, Minnesota

Provider Information

NPI Number
1164446282
Entity Type
Organization
Organization Name
Professional Drive Dental Group P.a.
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 26, 2006
Last Updated
Oct 2, 2013

Practice Location

Address
600 PROFESSIONAL DR
ZIP Code
55057-2755
Phone
(507) 645-5264

Authorized Official

Name
JEROME L APPELDOORN, D.D.S.
Title
PRESIDENT
Phone
(507) 645-5264

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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