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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PDG, PA

Active Organization

Dental Clinic · ROSEVILLE, MN

Registration Details

NPI Number
1104201284
Provider Type
Organization
NPI Issued
Jul 30, 2015 (10.74678681453 yrs)
Last Updated
Oct 28, 2020

Practice Information

Address
1835 COUNTY ROAD C W
SUITE 200
ROSEVILLE, MN, 55113
Browse MN providers · Browse ZIP 55113
Phone
6512097088
Fax
6516361118
Primary Specialty
Dental Clinic
261QD0000X

Other Dental Clinic Organizations in ROSEVILLE, MN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.