Gustavo Pena-Velasco, D.D.S., M.S.
NPI #1851346639 in Saint Cloud, Minnesota
Provider Information
- NPI Number
- 1851346639
- Entity Type
- Individual
- Name
- Gustavo Pena-Velasco, D.D.S., M.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Credential
- D.D.S., M.S.
- Enumeration Date
- May 23, 2006
- Last Updated
- Mar 14, 2011
Practice Location
- Address
- 3950 VETERANS DR
- Address 2
- SUITE 100
- City
- Saint Cloud
- State
- Minnesota
- ZIP Code
- 56303-3410
- Phone
- (320) 252-3611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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