John Douglas Gustafson DDS

NPI 1043392152 - Dentist - 122300000X

NPI Details
NPI 1043392152
Gender Male
Enumeration Date 10/19/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
106 3RD AVE NW
ARLINGTON MN, 55307, US
Phone (507) 964-2705
Fax (507) 964-5848
Business Location
PO BOX 352
106 3RD AVE NW
ARLINGTON MN, 55307, US
Phone (507) 964-2705
Fax (507) 964-5848
Toxanomy
Taxonomy Code 122300000X
License State Minnesota
License Number 8930
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According to our database, Dr. John Douglas Gustafson DDS NPI is 1043392152, taxonomy code is 122300000X and license number is 8930, license state is located at Minnesota. John Douglas Gustafson DDS physically located at 106 3rd Ave Nw, Arlington MN, 55307. NPI Number John Douglas Gustafson DDS has the Individual type.

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1043392152 NPI number is provided on an as is basis without warranty of any kind. 1043392152 is maintained by the National Plan & Provider Enumeration System. The contents of John Douglas Gustafson DDS are for informational purposes only.