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1104201284
PDG, PA
ROSEVILLE, MN
NPI
1104201284
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Entity Type
Organization
Authorized Contact
JOHN GULON
President
651-633-0500
Organization Subpart ?
Yes
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2015-07-30
Last Update Date
2020-10-28
Business Address
PDG, PA
1835 COUNTY ROAD C W SUITE 200
ROSEVILLE, MN 55113
Phone number: 651-209-7088
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Mailing Address
PDG, PA
2200 COUNTY ROAD C W SUITE 2210
ROSEVILLE, MN 55113-2550
Phone number: 651-633-0500
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