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1871783027
DAVID GUSTAFSON
SALT LAKE CITY, UT
NPI
1871783027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist Pediatric Dentistry
(Licence: UT 73484659923)
Enumeration Date
2007-07-25
Last Update Date
2014-07-22
Business Address
DAVID GUSTAFSON DDS, MS
1548 E 4500 S
SALT LAKE CITY, UT 84117-4209
Phone number: 801-463-1900
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Mailing Address
DAVID GUSTAFSON DDS, MS
1548 E 4500 S
SALT LAKE CITY, UT 84117-4209
Phone number: 801-463-1900
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