Individual
MR. DAN GUSTAVSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1240 HIGH ST UNIT 102, AUBURN, CA 95603-5072
(530) 830-3333
(530) 889-9946
Mailing address
1240 HIGH ST UNIT 102, AUBURN, CA 95603-5072
(530) 530-3333
(530) 889-9946
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
36658
CA
Other
Enumeration date
11/07/2006
Last updated
01/23/2019
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