Organization
DR. JOHN D. GUSTAFSON, D.D.S., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D GUSTAFSON DDS, PA (OWNER)
(507) 964-2705
Entity
Organization
Contact information
Practice address
106 THIRD AVENUE NW, ARLINGTON, MN 55307
(507) 964-2705
(507) 964-5848
Mailing address
PO BOX 352, ARLINGTON, MN 55307
(507) 964-2705
(507) 964-5848
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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