DR. GARY GUSTAVSON, D.D.S.

Dentist

Active Individual
NPI: 1003812579

Practice Address

64 OLD ORCHARD CTR
STE 528
Skokie, IL 60077

Phone: (847) 675-3311

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 19-15094 (IL)

Frequently Asked Questions

NPI 1003812579 is the National Provider Identifier for DR. GARY GUSTAVSON, D.D.S., a Dentist provider located in Skokie, IL. This NPI was enumerated on June 21, 2005.
DR. GARY GUSTAVSON, D.D.S. practices at 64 OLD ORCHARD CTR, STE 528, Skokie, IL 60077.

Quick Facts

NPI
1003812579
Type
Individual
Enumerated
Jun 21, 2005
Last Updated
Jul 8, 2007

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