Organization
GUSTAVSON & ROBBINS DDS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY WAYNE GUSTAVSON D.D.S. (PRESIDENT)
(847) 675-3311
Entity
Organization
Contact information
Practice address
64 OLD ORCHARD SHOPPING CTR, SUITE 528, SKOKIE, IL 60077-1425
(847) 675-3311
(847) 674-3133
Mailing address
64 OLD ORCHARD SHOPPING CTR, SUITE 528, SKOKIE, IL 60077-1425
(847) 675-3311
(847) 674-3133
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
01915094
IL
Other
Enumeration date
03/19/2007
Last updated
08/12/2008
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