Pdg, P.a.

NPI #1386710499 in Champlin, Minnesota

Provider Information

NPI Number: 1386710499
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: 12180 BUSINESS PARK BOULEVARD NORTH
City: Champlin
State: Minnesota
ZIP Code: 55316-3123
Phone: (763) 421-5206

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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