TERRY L GUSTAVEL

BOISE, ID
NPI1346373826
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: ID  D-1351)
Enumeration Date2007-03-13
Last Update Date2007-07-08
Business Address
Dr. TERRY L GUSTAVEL D.D.S.
480 N LATAH ST
BOISE, ID 83706-2630
Phone number: 208-345-8962
Mailing Address
Dr. TERRY L GUSTAVEL D.D.S.
480 N LATAH ST
BOISE, ID 83706-2630
Phone number: 208-345-8962
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