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Organization

PDG, P.A.

Active
Parent organization
PDG, P.A.
Other names
Park Dental
Organization subpart
Yes

Provider details

NPI number
Legal business name
PDG, P.A.
Authorized official
DR. JOHN GULON D.D.S. (PRESIDENT)
(651) 633-0500
Entity
Organization

Contact information

Practice address
5350 S ROBERT TRL, INVER GROVE HEIGHTS, MN 55077-1404
(651) 450-9579
Mailing address
2200 COUNTY ROAD C W, SUITE 2210, ROSEVILLE, MN 55113-2504
(651) 633-0500
(651) 636-6350

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
12/05/2006
Last updated
10/28/2020
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