NPI 1306338553

Orthodontic Specialists of Minnesota, P.L.L.C.

Organisation Orthodontics and Dentofacial Orthopedics Dentistry Fridley, MN

Practice location

Address: 1109 Moore Lake Dr E, Fridley, MN 55432
Phone: (763) 572-2224
Mailing address: 2200 County Road C W STE 2210, Roseville, MN 55113-2551

Authorised official

Name: John Gulon
Title: President
Phone: (651) 746-2815

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X

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Registry record

NPI: 1306338553
Entity type: Organization
NPI issued: 4 Jun 2018
Record last updated: 28 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.