ERIC ROSS GUSTAVSEN

WALLA WALLA, WA
NPI1457431025
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: WA  DE00008037)
Enumeration Date2006-10-17
Last Update Date2007-07-08
Business Address
DR. ERIC ROSS GUSTAVSEN DDS
1129 SOUTH 2ND AVE SUITE A
WALLA WALLA, WA 99362
Phone number: 509-522-2522
Mailing Address
DR. ERIC ROSS GUSTAVSEN DDS
1129 SOUTH 2ND AVE SUITE A
WALLA WALLA, WA 99362
Phone number: 509-522-2522
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