PDG PA NPI 1649838343

NPI Information

PDG, PA is a dental clinic center in Woodbury, MN. PDG, PA NPI is 1649838343. The provider is registered as an organization entity type.
The provider Is Doing Business As Park Dental.

The provider's business location address is:

7774 HARGIS PKWY STE 106
WOODBURY, MN
ZIP 55129-305
Phone: (651) 714-8237

The provider's authorized official is Shannon Hesse .
The authorized official title is Credentialing Specialists and has the following contact phone number (651) 746-2815.

The enumeration date for this NPI number is 5/29/2019 and was last updated on 10/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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