NPI | 1245722297 |
---|---|
Doing Business As | THE DENTAL SPECIALISTS- ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | JOHN GULON President 651-746-2815 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2018-06-05 |
Last Update Date | 2020-10-28 |