Pdg,p.a.
NPI #1306912480 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1306912480
- 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
- 4200 W OLD SHAKOPEE RD
- Address 2
- SUITE 100
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55437-2976
- Phone
- (952) 831-6126
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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