Organization · Type 2 NPI
Pdg, PA
Dental Clinic/Center · St. Paul, MN
NPI number
1164813309
Active
Practice location
2282 Como Ave
St. Paul, MN 55108-1722
Mailing address
2200 County Road C W, Suite 2210
Roseville, MN 55113-2550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1164813309
Pdg, PA's National Provider Identifier is 1164813309, 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.