Organization · Type 2 NPI

Pdg, PA

Dental Clinic/Center · St. Paul, MN

NPI number 1073904223 Active

Practice location

91 Snelling Ave N
St. Paul, MN 55104-6753

Mailing address

2200 County Road C W, Suite 2210
Roseville, MN 55113-2550

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1073904223

Pdg, PA's National Provider Identifier is 1073904223, issued on Feb 10, 2015. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in St. Paul, MN. The record was last updated on Oct 28, 2020.