Organization
MATTHEW H. GUSTAFSSON D.D.S., INC.
Active
Other names
Truckee Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW GUSTAFSSON D.D.S. (OWNER/DENTIST)
(530) 550-9311
Entity
Organization
Contact information
Practice address
11149 BROCKWAY RD STE 100, TRUCKEE, CA 96161-2212
(530) 550-9311
(530) 550-8655
Mailing address
11149 BROCKWAY RD STE 100, TRUCKEE, CA 96161-2212
(530) 550-9311
(530) 550-8655
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
55527
CA
Other
Enumeration date
12/22/2009
Last updated
02/27/2025
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