| NPI | 1679904189 |
|---|---|
| Doing Business As | NORTHERN ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JOHN GULON President 651-633-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2013-12-09 |