| NPI | 1629560677 | 
|---|---|
| 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 |