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DEREK GUSTAFSON, DDS

DDS

General Practice Dentistry

NPI: 1356326029Individual

Specialties, Licenses & Credentials

Dentist

Code: 122300000X

DD2591(NM)

Dentist — General Practice

Code: 1223G0001X

12387(MN)

Contact & Hours

Address
2467 15TH ST NW, SUITE A
NEW BRIGHTON, MN 55112

Quick Facts

NPI
1356326029
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
1

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