DR. Alyssa Lynn Gullickson, D.D.S.

NPI #1013277094 in Avon, Minnesota

Provider Information

NPI Number
1013277094
Entity Type
Individual
Name
DR. Alyssa Lynn Gullickson, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.D.S.
Enumeration Date
May 23, 2012
Last Updated
May 23, 2012

Practice Location

Address
308 BLATTNER DR
Address 2
SUITE A
City
Avon
ZIP Code
56310-4531
Phone
(320) 356-7374

Specialties & Taxonomy Codes

Specialty
Dentist

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