# DR. AIMEE JEAN GUSTAFSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1205148145
- **Gender:** F
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D12841 | MN | — |
| 122300000X | Dentist | DEN-DEN-LIC-2485 | MT | Yes |
| 1223G0001X | General Practice Dentistry | 2485 | MT | — |

## Other

- **Enumeration date:** 07/08/2010
- **Last updated:** 03/15/2024