Individual
AMY KRISTINA LEE GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
123 S 27TH ST, BILLINGS, MT 59101-4200
(406) 247-3333
Mailing address
123 S 27TH ST, BILLINGS, MT 59101-4200
(406) 247-3333
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
2473
MT
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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