John D. Nydahl, Dds, P. A.
NPI #1174547855 in Saint Cloud, Minnesota
Provider Information
- NPI Number
- 1174547855
- Entity Type
- Organization
- Organization Name
- John D. Nydahl, Dds, P. A.
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jul 27, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1011 2ND ST N STE 101
- City
- Saint Cloud
- State
- Minnesota
- ZIP Code
- 56303-3237
- Phone
- (320) 253-0744
Authorized Official
- Name
- JOHN D. NYDAHL, DDS
- Title
- PRESIDENT
- Phone
- (320) 253-0744
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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