Pdg, PA
NPI #1366826752 in Albertville, Minnesota
Provider Information
- NPI Number
- 1366826752
- Entity Type
- Organization
- Organization Name
- Pdg, PA
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jul 15, 2015
- Last Updated
- Oct 28, 2020
Practice Location
- Address
- 11091 JASON AVE NE
- Address 2
- SUITE 3
- City
- Albertville
- State
- Minnesota
- ZIP Code
- 55301-4699
- Phone
- (763) 497-2822
Authorized Official
- Name
- DR. JOHN GULON, DDS
- Title
- PRESIDENT
- Phone
- (651) 633-0500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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