Organization
ORTHODONTIC SPECIALISTS OF MINNESOTA, P.L.L.C.
Active
Other names
The Dental Specialists - Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GULON DDS (PRESIDENT)
(651) 746-2815
Entity
Organization
Contact information
Practice address
6545 FRANCE AVE S, SUITE 381, EDINA, MN 55435
(952) 926-7766
(952) 926-2037
Mailing address
2200 COUNTY ROAD C W, SUITE 2210, ROSEVILLE, MN 55113-2550
(651) 633-0500
(651) 636-6350
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
03/01/2012
Last updated
10/28/2020
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