Pdg, Pa | |
11091 Jason Ave Ne Suite 3 Albertville MN 55301-4699 | |
(763) 497-2822 | |
(763) 497-2955 |
Full Name | Pdg, Pa |
---|---|
Speciality | Clinic/center - Dental |
Location | 11091 Jason Ave Ne, Albertville, Minnesota |
Authorized Official Name and Position | John Gulon (PRESIDENT) |
Authorized Official Contact | 6516330500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pdg, Pa 2200 County Road C W Suite 2210 Roseville MN 55113-2550 Ph: (651) 633-0500 | Pdg, Pa 11091 Jason Ave Ne Suite 3 Albertville MN 55301-4699 Ph: (763) 497-2822 |
NPI Number | 1366826752 |
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Provider Enumeration Date | 07/15/2015 |
Last Update Date | 10/28/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366826752 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
News Archive
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Albertville Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5047 Jason Ave Ne, Albertville, MN 55301 Phone: 763-497-8165 Fax: 763-497-8162 | |
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Midwest Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6563 Laketowne Pl, Unit A, Albertville, MN 55301 Phone: 763-493-3600 Fax: 763-493-3602 | |
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