Orthodontic Specialists of Minnesota, P.l.l.c.

NPI #1699267633 in Chaska, Minnesota

Provider Information

NPI Number: 1699267633
Entity Type: Organization
Organization Name: Orthodontic Specialists of Minnesota, P.l.l.c.
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Jun 5, 2018
Last Updated: Oct 28, 2020

Practice Location

Address: 1150 HAZELTINE BLVD
City: Chaska
State: Minnesota
ZIP Code: 55318
Phone: (952) 241-5860

Authorized Official

Name: JOHN GULON, DDS
Title: PRESIDENT
Phone: (651) 746-2815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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