Individual
DR. DONALD DAVID GUSTOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
450 NORTHWEST STREET, BELLEVUE, OH 44811-1204
(419) 483-7137
(419) 483-6182
Mailing address
450 NORTHWEST STREET, BELLEVUE, OH 44811-1204
(419) 483-7137
(419) 483-6182
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
15992
OH
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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