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Individual

DR. CHAD ANDERS GUSTAFSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
101 RALEY BLVD, SUITE 202, CHICO, CA 95928-8352
(530) 592-4688
Mailing address
17 ROOHR CT, CHICO, CA 95928-9446
(252) 414-8059

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
54802
CA

Other

Enumeration date
01/02/2007
Last updated
08/13/2013
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