Organization
PDG,P.A.
Active
Other names
Park Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER STEELE D.D.S. (PRESIDENT)
(651) 633-0500
Entity
Organization
Contact information
Practice address
2200 COUNTY ROAD C W, SUITE 2210, ROSEVILLE, MN 55113
(651) 633-0500
(651) 636-6350
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
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
01/05/2007
Last updated
10/28/2020
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