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1942809637
PDB, DDS, PA
MAPLE GROVE, MN
NPI
1942809637
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Entity Type
Organization
Authorized Contact
PAUL BOETTNER
CEO
763-476-6774
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2020-10-22
Last Update Date
2020-10-22
Business Address
PDB, DDS, PA
12736 BASS LAKE RD
MAPLE GROVE, MN 55369-6307
Phone number: 763-559-2082
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Mailing Address
PDB, DDS, PA
1485 COUNTY ROAD 101 N
PLYMOUTH, MN 55447-3053
Phone number: 763-476-6774
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