Dr. John D. Gustafson, D.d.s., PA

NPI #1760737647 in Arlington, Minnesota

Provider Information

NPI Number: 1760737647
Entity Type: Organization
Organization Name: Dr. John D. Gustafson, D.d.s., PA
Primary Specialty: Dentist
Enumeration Date: Jul 17, 2012
Last Updated: Jul 17, 2012

Practice Location

Address: 106 THIRD AVENUE NW
City: Arlington
State: Minnesota
ZIP Code: 55307
Phone: (507) 964-2705

Authorized Official

Name: DR. JOHN D GUSTAFSON, DDS, PA
Title: OWNER
Phone: (507) 964-2705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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