DR. Chad Michael Gustafson, DDS

NPI #1306100011 in Slidell, Louisiana

Provider Information

NPI Number: 1306100011
Entity Type: Individual
Name: DR. Chad Michael Gustafson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 27, 2012
Last Updated: Jul 12, 2013

Practice Location

Address: 925 CROSS GATES BLVD
City: Slidell
State: Louisiana
ZIP Code: 70461-3920
Phone: (985) 646-1726

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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