Organization · Type 2 NPI
Pdg, PA
Dental Clinic/Center · Elk River, MN
NPI number
1285170464
Active
Practice location
18230 Zane St NW
Elk River, MN 55330-4501
Fax (763) 201-1314
Mailing address
2200 County Road C W, 2210
Roseville, MN 55113-2550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1285170464
Pdg, PA's National Provider Identifier is 1285170464, issued on Jan 12, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Elk River, MN. The record was last updated on Oct 28, 2020.