DR. Colin A Gustus, DMD

NPI #1306585146 in Goodyear, Arizona

Provider Information

NPI Number: 1306585146
Entity Type: Individual
Name: DR. Colin A Gustus, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: May 31, 2022
Last Updated: May 31, 2022

Practice Location

Address: 1646 N LITCHFIELD RD STE 225
City: Goodyear
State: Arizona
ZIP Code: 85395-1384
Phone: (623) 247-0041

Specialties & Taxonomy Codes

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

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