| Gustafson Morningstar Dentistry | |
|
940 E 11 Mile Rd Royal Oak MI 48067-1968 | |
| (248) 541-8770 | |
| (248) 546-7794 |
| Full Name | Gustafson Morningstar Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 940 E 11 Mile Rd, Royal Oak, Michigan |
| Authorized Official Name and Position | Steven Gustafson (PRESIDENT/DENTIST) |
| Authorized Official Contact | 2485418770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gustafson Morningstar Dentistry 940 E 11 Mile Rd Royal Oak MI 48067-1968 Ph: (248) 541-8770 | Gustafson Morningstar Dentistry 940 E 11 Mile Rd Royal Oak MI 48067-1968 Ph: (248) 541-8770 |
| NPI Number | 1518124312 |
|---|---|
| Provider Enumeration Date | 05/20/2008 |
| Last Update Date | 05/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518124312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13897 (Michigan) | Primary |
| 1223G0001X | Dentist - General Practice | 13901 (Michigan) | Secondary |
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