Organization · Type 2 NPI
Pdg, PA
Dental Clinic/Center · Big Lake, MN
NPI number
1629589544
Active
Practice location
16991 198th Ave NW
Big Lake, MN 55309
Fax (763) 263-0136
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...
2 other providers at this address
Other dental clinic/center providers in Big Lake
About NPI 1629589544
Pdg, PA's National Provider Identifier is 1629589544, issued on Oct 18, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Big Lake, MN. The record was last updated on Oct 28, 2020.