Pdg, P.a.
NPI #1245669787 in Stillwater, Minnesota
Provider Information
- NPI Number
- 1245669787
- Entity Type
- Organization
- Organization Name
- Pdg, P.a.
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 5, 2013
- Last Updated
- Oct 28, 2020
Practice Location
- Address
- 13961 60TH ST N
- City
- Stillwater
- State
- Minnesota
- ZIP Code
- 55082-1053
- Phone
- (651) 439-2600
Authorized Official
- Name
- DR. JOHN GULON
- Title
- PRESIDENT
- Phone
- (651) 633-0500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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