Organization
PROFESSIONAL DRIVE DENTAL GROUP P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME L APPELDOORN D.D.S. (PRESIDENT)
(507) 645-5264
Entity
Organization
Contact information
Practice address
600 PROFESSIONAL DR, NORTHFIELD, MN 55057-2755
(507) 645-5264
(507) 663-0303
Mailing address
600 PROFESSIONAL DR, NORTHFIELD, MN 55057-2755
(507) 645-5264
(507) 663-0303
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/26/2006
Last updated
10/02/2013
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