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Pdg, Pa
Dental Clinic/Center in Shakopee, Minnesota
NPI 1821545930

Pdg, Pa is a Dental Clinic/Center based in Roseville, MN and is specialized in Dental. Pdg, Pa practices in Shakopee, MN. The NPI Number for Pdg, Pa is 1821545930 and holds a License No. (Minnesota).

The current practice location address for Pdg, Pa is 4155 Dean Lakes Blvd, Shakopee, MN and can be reached out via phone at 952-303-8320 and via fax at 952-303-8325.

Location: 4155 Dean Lakes Blvd, Shakopee, MN, 55113-2551
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821545930
Provider Name
Pdg, Pa
Credential
Provider Entity Type
Organization
Address
4155 Dean Lakes Blvd, Shakopee, MN, 55113-2551
Phone Number
952-303-8320
Fax Number
952-303-8325
Provider Enumeration Date
09/07/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4155 Dean Lakes Blvd
City
Shakopee
State
Minnesota
Zip
55379
Phone Number
952-303-8320
Fax Number
952-303-8325
person
Provider Business Mailing Address Details
Address
4155 Dean Lakes Blvd
City
Shakopee
State
Minnesota
Zip
55379
Phone Number
952-303-8320
Fax Number
952-303-8325
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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