| NPI | 1700310299 |
|---|---|
| Doing Business As | THE DENTAL SPECIALIST-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 | 2017-04-12 |
| Last Update Date | 2020-10-28 |