Individual
DR. KIMBERLY TUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1800 VALLEY RIVER DR, STE 400, EUGENE, OR 97401-6714
(541) 344-6058
(541) 343-0310
Mailing address
PO BOX 25012, EUGENE, OR 97402-0445
(541) 344-6058
(541) 343-0310
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6621
OR
Other
Enumeration date
09/09/2008
Last updated
05/21/2015
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