Organization · Type 2 NPI
Pdg, P.a.
Dental Clinic/Center · Hermantown, MN
NPI number
1184288979
Active
Practice location
4891 Miller Truck Hwy., Suite 100
Hermantown, MN 55811
Fax (218) 740-3234
Mailing address
2200 County Road C W Ste 2210
Roseville, MN 55113-2551
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Hermantown
About NPI 1184288979
Pdg, P.a.'s National Provider Identifier is 1184288979, issued on Apr 26, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Hermantown, MN. The record was last updated on Oct 28, 2020.