Pdg, PA

NPI #1285170464 in Elk River, Minnesota

Provider Information

NPI Number
1285170464
Entity Type
Organization
Organization Name
Pdg, PA
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jan 12, 2017
Last Updated
Oct 28, 2020

Practice Location

Address
18230 ZANE ST NW
ZIP Code
55330-4501
Phone
(763) 201-1313

Authorized Official

Name
JOHN GULON
Title
PRESIDENT
Phone
(651) 633-0500

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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