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Matthew H. Gustafsson D.d.s., Inc.
Pediatric Dentist in Truckee, California
NPI 1144559162

Matthew H. Gustafsson D.d.s., Inc. is a Pediatric Dentist based in Truckee, CA and is specialized in Pediatric Dentistry. Matthew H. Gustafsson D.d.s., Inc. practices in Truckee, CA. The NPI Number for Matthew H. Gustafsson D.d.s., Inc. is 1144559162 and holds a License No. 55527 (California).

The current practice location address for Matthew H. Gustafsson D.d.s., Inc. is 11149 Brockway Rd Ste 100, Truckee, CA and can be reached out via phone at 530-550-9311 and via fax at 530-550-8655.

Location: 11149 Brockway Rd Ste 100, Truckee, CA, 96161-2212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144559162
Provider Name
Matthew H. Gustafsson D.d.s., Inc.
Credential
Provider Entity Type
Organization
Address
11149 Brockway Rd Ste 100, Truckee, CA, 96161-2212
Phone Number
530-550-9311
Fax Number
530-550-8655
Provider Enumeration Date
12/22/2009
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
11149 Brockway Rd Ste 100
City
Truckee
State
California
Zip
96161-2212
Phone Number
530-550-9311
Fax Number
530-550-8655
person
Provider Business Mailing Address Details
Address
11149 Brockway Rd Ste 100
City
Truckee
State
California
Zip
96161-2212
Phone Number
530-550-9311
Fax Number
530-550-8655
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
55527 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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