Gustafson, David
Gustafson, David is an individual health care provider with primary practice located at 1548 E 4500 S , Salt Lake City UT 84117-4209. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Gustafson, David can be contacted via phone (801) 463-1900.Contact Information
Primary practice address
1548 E 4500 S
Salt Lake City UT 84117-4209
Phone: (801) 463-1900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 73484659923 | Utah |
Profile Details
| NPI number | 1871783027 |
|---|---|
| LBN Legal business name | Gustafson, David |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2007 |
| Last updated | Jul 22nd, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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