Pdg, P.a.
NPI #1184782617 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1184782617
- 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 5, 2006
- Last Updated
- Oct 28, 2020
Practice Location
- Address
- 800 LASALLE AVE
- Address 2
- SUITE 100
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55402-2006
- Phone
- (612) 338-4546
Authorized Official
- Name
- DR. JOHN GULON, D.D.S.
- Title
- PRESIDENT
- Phone
- (651) 633-0500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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