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Individual

DR. CARL JEFFRIES GUSTKE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
COMDT (CG-1122) U.S. COAST GUARD, 2100 2ND ST. SW, SUITE 5314, WASHINGTON, DC 20593
(202) 267-0801
Mailing address
306 MECHANIC ST, CAPE MAY COURT HOUSE, NJ 08210-1828

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4328-015
WI
1223P0300X
Periodontics
DS027832L
PA

Other

Enumeration date
01/09/2006
Last updated
09/11/2025
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