Kavin Gustafson, DDS

NPI #1063658466 in Avenal, California

Provider Information

NPI Number: 1063658466
Entity Type: Individual
Name: Kavin Gustafson, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jan 6, 2009
Last Updated: Apr 23, 2013

Practice Location

Address: 1000 SKYLINE BLVD
City: Avenal
State: California
ZIP Code: 93204-1850
Phone: (559) 386-4500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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