Individual
DR. DUSTIN LEE GATTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
602 N CALGARY CT STE 301, POST FALLS, ID 83854-4000
(208) 262-2620
Mailing address
602 N CALGARY CT STE 301, POST FALLS, ID 83854-4000
(208) 262-2620
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D-4318-EN
ID
1223E0200X
Endodontics
DE 60171338
WA
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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