Pdg, PA

NPI #1649838343 in Woodbury, Minnesota

Provider Information

NPI Number: 1649838343
Entity Type: Organization
Organization Name: Pdg, PA
Primary Specialty: Clinic/Center - Dental
Enumeration Date: May 29, 2019
Last Updated: Oct 28, 2020

Practice Location

Address: 7774 HARGIS PKWY STE 106
City: Woodbury
State: Minnesota
ZIP Code: 55129-2305
Phone: (651) 714-8237

Authorized Official

Name: SHANNON HESSE
Title: CREDENTIALING SPECIALISTS
Phone: (651) 746-2815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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