Organization · Type 2 NPI

Pdg, PA

Dental Clinic/Center · Shakopee, MN

NPI number 1821545930 Active

Practice location

4155 Dean Lakes Blvd
Shakopee, MN 55379

Fax (952) 303-8325

Mailing address

2200 County Road C W Ste 2210
Roseville, MN 55113-2551

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

2 other providers at this address

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About NPI 1821545930

Pdg, PA's National Provider Identifier is 1821545930, issued on Sep 7, 2016. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Shakopee, MN. The record was last updated on Oct 28, 2020.