Pdg, P.a

NPI #1952952392 in Eagan, Minnesota

Provider Information

NPI Number
1952952392
Entity Type
Organization
Organization Name
Pdg, P.a
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Sep 26, 2019
Last Updated
Oct 28, 2020

Practice Location

Address
1215 TOWN CENTRE DR STE 150
City
Eagan
ZIP Code
55123-2660
Phone
(651) 287-3729

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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