DR. John Victor Gustafson, DMD,MAGD,FADI
NPI #1366533564 in Elizabethtown, Pennsylvania
Provider Information
- NPI Number
- 1366533564
- Entity Type
- Individual
- Name
- DR. John Victor Gustafson, DMD,MAGD,FADI
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD,MAGD,FADI
- Enumeration Date
- Sep 27, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 102 W HIGH ST
- City
- Elizabethtown
- State
- Pennsylvania
- ZIP Code
- 17022-2019
- Phone
- (717) 367-1560
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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