Derek L Gustafson, D.d.s., P.a.
NPI #1902061666 in Bigfork, Minnesota
Provider Information
- NPI Number
- 1902061666
- Entity Type
- Organization
- Organization Name
- Derek L Gustafson, D.d.s., P.a.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 22, 2008
- Last Updated
- Sep 15, 2009
Practice Location
Authorized Official
- Name
- DR. DEREK LYNN GUSTAFSON, D.D.S.
- Title
- PRESIDENT
- Phone
- (218) 743-3707
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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