| Pdg,p.a. | |
|
3300 Edinborough Way Ste 210 Edina MN 55435-5958 | |
| (952) 831-1112 | |
| Not Available |
| Full Name | Pdg,p.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3300 Edinborough Way Ste 210, Edina, 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,p.a. 2200 County Road C W Ste 2210 Roseville MN 55113-2551 Ph: (651) 633-0500 | Pdg,p.a. 3300 Edinborough Way Ste 210 Edina MN 55435-5958 Ph: (952) 831-1112 |
| NPI Number | 1043807571 |
|---|---|
| Provider Enumeration Date | 12/30/2020 |
| Last Update Date | 12/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043807571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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