Justin James Gangestad, DDS

NPI #1477905990 in Baxter, Minnesota

Provider Information

NPI Number
1477905990
Entity Type
Individual
Name
Justin James Gangestad, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jul 8, 2016
Last Updated
Jul 8, 2016

Practice Location

Address
13442 ELMWOOD DR
City
Baxter
ZIP Code
56425-8400
Phone
(218) 829-4207

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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