Pdg,p.a.

NPI #1689732133 in Prior Lake, Minnesota

Provider Information

NPI Number: 1689732133
Entity Type: Organization
Organization Name: Pdg,p.a.
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 5, 2006
Last Updated: Oct 28, 2020

Practice Location

Address: 4670 PARK NICOLLET AVE SE
Address 2: SUITE 100
City: Prior Lake
State: Minnesota
ZIP Code: 55372-3908
Phone: (952) 447-7606

Authorized Official

Name: DR. JOHN GULON, D.D.S.
Title: PRESIDENT
Phone: (952) 949-2536

Specialties & Taxonomy Codes

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

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