| Pdg, Pa | |
|
16991 198th Ave Nw Big Lake MN 55309 | |
| (763) 263-6350 | |
| (763) 263-0136 |
| Full Name | Pdg, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 16991 198th Ave Nw, Big Lake, Minnesota |
| Authorized Official Name and Position | Shannon Hesse (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 6517462815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pdg, Pa 2200 County Road C W Ste 2210 Roseville MN 55113-2551 Ph: (651) 746-2815 | Pdg, Pa 16991 198th Ave Nw Big Lake MN 55309 Ph: (763) 263-6350 |
| NPI Number | 1629589544 |
|---|---|
| Provider Enumeration Date | 10/18/2017 |
| Last Update Date | 10/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629589544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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