| Dr. John D. Gustafson, D.d.s., Pa | |
|
106 Third Avenue Nw Arlington MN 55307 | |
| (507) 964-2705 | |
| (507) 964-5848 |
| Full Name | Dr. John D. Gustafson, D.d.s., Pa |
|---|---|
| Speciality | Dentist |
| Location | 106 Third Avenue Nw, Arlington, Minnesota |
| Authorized Official Name and Position | John D Gustafson (OWNER) |
| Authorized Official Contact | 5079642705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. John D. Gustafson, D.d.s., Pa Po Box 352 Arlington MN 55307 Ph: (507) 964-2705 | Dr. John D. Gustafson, D.d.s., Pa 106 Third Avenue Nw Arlington MN 55307 Ph: (507) 964-2705 |
| NPI Number | 1760737647 |
|---|---|
| Provider Enumeration Date | 07/17/2012 |
| Last Update Date | 07/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760737647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Forever Smiles, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 W Main St, Arlington, MN 55307 Phone: 507-964-2748 Fax: 507-964-2707 |