# GUSTAVO JR GASCA DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366101081
- **Authorized official:** DR. GUSTAVO GASCA JR. DMD (DENTIST OWNER)
- **Authorized official phone:** (910) 756-6006

## Contact information

- **Practice address:** 417 ARBORETUM DR STE 120, WILMINGTON, NC 28405-6305
- **Practice address phone:** (910) 616-7632
- **Mailing address:** 417 ARBORETUM DR STE 120, WILMINGTON, NC 28405-6305
- **Mailing address phone:** (910) 756-6006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/09/2021
- **Last updated:** 02/04/2022