| Dr Eric Ross Gustavsen, DDS | |
|
1129 South 2nd Ave, Suite A, Walla Walla, WA 99362 | |
| (509) 522-2522 | |
| (509) 522-0467 |
| Full Name | Dr Eric Ross Gustavsen |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 1129 South 2nd Ave, Walla Walla, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457431025 | NPI | - | NPPES |
| 58037 | Other | WA | WASHINGTON DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00008037 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eric Ross Gustavsen, DDS 1129 South 2nd Ave, Suite A, Walla Walla, WA 99362 Ph: (509) 522-2522 | Dr Eric Ross Gustavsen, DDS 1129 South 2nd Ave, Suite A, Walla Walla, WA 99362 Ph: (509) 522-2522 |
Mr. Chad T. Ordelheide, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1602 Penny Ln, Walla Walla, WA 99362 Phone: 509-525-2752 Fax: 509-525-9063 | |
Dr. Dwight Layne Johnson, D.M.D., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1129 S 2nd Ave Ste D, Walla Walla, WA 99362 Phone: 509-516-1200 Fax: 509-516-1209 | |
Dr. Julie M Kellogg, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1602 Penny Ln, Walla Walla, WA 99362 Phone: 509-522-0940 Fax: 509-525-9063 | |
Nadia Farjo, DMD MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 614 E Alder St Ste 2, Walla Walla, WA 99362 Phone: 206-948-1249 | |
Fnu Nisina, Dentist Medicare: Medicare Enrolled Practice Location: 1120 W Rose St, Walla Walla, WA 99362 Phone: 509-525-6650 | |
Dr. Richard Jon Sundberg, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 310 S 3rd Ave, Walla Walla, WA 99362 Phone: 509-529-3762 Fax: 509-529-7622 | |
Michael Philip Holman, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 850 Juniper St, Walla Walla, WA 99362 Phone: 509-525-1104 |