Pdg, PA
NPI #1689122442 in Cottage Grove, Minnesota
Provider Information
- NPI Number
- 1689122442
- Entity Type
- Organization
- Organization Name
- Pdg, PA
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 21, 2016
- Last Updated
- Oct 28, 2020
Practice Location
- Address
- 7501 80TH ST S
- Address 2
- #214
- City
- Cottage Grove
- State
- Minnesota
- ZIP Code
- 55016-3020
- Phone
- (651) 459-2300
Authorized Official
- Name
- DR. JOHN GULON
- Title
- PRESIDENT
- Phone
- (651) 633-0500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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