Individual
DR. COLIN A GUSTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1646 N LITCHFIELD RD STE 225, GOODYEAR, AZ 85395-1384
(623) 247-0041
(623) 247-0459
Mailing address
20723 W RIDGE RD, BUCKEYE, AZ 85396-7754
(602) 292-3233
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D011376
AZ
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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