Pdg, PA
NPI #1629589544 in Big Lake, Minnesota
Provider Information
- NPI Number
- 1629589544
- Entity Type
- Organization
- Organization Name
- Pdg, PA
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 18, 2017
- Last Updated
- Oct 28, 2020
Practice Location
Authorized Official
- Name
- SHANNON HESSE
- Title
- CREDENTIALING SPECIALIST
- Phone
- (651) 746-2815
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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