Pdg, P.a.
NPI #1184288979 in Hermantown, Minnesota
Provider Information
- NPI Number
- 1184288979
- Entity Type
- Organization
- Organization Name
- Pdg, P.a.
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 26, 2019
- Last Updated
- Oct 28, 2020
Practice Location
- Address
- 4891 MILLER TRUCK HWY.
- Address 2
- SUITE 100
- City
- Hermantown
- State
- Minnesota
- ZIP Code
- 55811
- Phone
- (218) 722-7770
Authorized Official
- Name
- SHANNON HESSE
- Title
- CREDENTIALING SPECIALISTS
- Phone
- (651) 746-2815
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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