Organization · Type 2 NPI
John D. Nydahl, Dds, P. A.
Dental Clinic/Center · St. Cloud, MN
NPI number
1174547855
Active
Practice location
1011 2nd St N Ste 101
St. Cloud, MN 56303-3237
Fax (320) 253-9930
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | D8204 (MN) |
Dental Clinic/Center: Definition to come...
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About NPI 1174547855
John D. Nydahl, Dds, P. A.'s National Provider Identifier is 1174547855, issued on Jul 27, 2006. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in St. Cloud, MN. The record was last updated on Aug 22, 2020.