Pdg,p.a.

NPI #1215003371 in Blaine, Minnesota

Provider Information

NPI Number
1215003371
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
Nov 28, 2006
Last Updated
Oct 28, 2020

Practice Location

Address
12904 CENTRAL AVE NE
City
Blaine
ZIP Code
55434-4147
Phone
(763) 755-1330

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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