DR. Therese H. Gustafson, DDS

NPI #1790854867 in Barrington, Illinois

Provider Information

NPI Number
1790854867
Entity Type
Individual
Name
DR. Therese H. Gustafson, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Nov 6, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
241 S GLENDALE AVE
ZIP Code
60010-4636
Phone
(847) 382-4615

Specialties & Taxonomy Codes

Specialty
Dentist

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