Individual
KATHRYN GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
19515 N CREEK PKWY STE 212, BOTHELL, WA 98011-8200
(425) 486-7764
Mailing address
17510 W MAIN ST UNIT B104, MONROE, WA 98272-1992
(206) 330-9911
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
70011443
WA
Other
Enumeration date
11/27/2023
Last updated
07/24/2025
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