Individual
DR. KERRI SUE GUSTAFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
18245 E 10 MILE RD, SUITE 110, ROSEVILLE, MI 48066-5807
(586) 585-2402
(586) 445-1473
Mailing address
18245 E 10 MILE RD, SUITE 110, ROSEVILLE, MI 48066-5807
(586) 585-2402
(586) 445-1473
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2901018319
MI
1223P0221X
Pediatric Dentistry
D11710
OR
Other
Enumeration date
02/08/2006
Last updated
10/03/2022
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