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Dr. Eric Ross Gustavsen, DDS
General Practice Dentistry in Walla Walla, Washington
NPI 1457431025

Eric Ross Gustavsen is a General Practice Dentistry based in Walla Walla, WA and is specialized in General Practice. Eric Ross Gustavsen practices in Walla Walla, WA and has the professional credentials of DDS. The NPI Number for Eric Ross Gustavsen is 1457431025 and holds a License No. DE00008037 (Washington).

The current practice location address for Eric Ross Gustavsen is 1129 South 2Nd Ave, Walla Walla, WA and can be reached out via phone at 509-522-2522 and via fax at 509-522-0467.

Location: 1129 South 2Nd Ave, Walla Walla, WA, 99362
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457431025
Provider Name
Eric Ross Gustavsen
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1129 South 2Nd Ave, Walla Walla, WA, 99362
Phone Number
509-522-2522
Fax Number
509-522-0467
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
58037 01 WA WASHINGTON DENTAL
institution
Provider Business Practice Location Address Details
Address
1129 South 2Nd Ave
City
Walla Walla
State
Washington
Zip
99362
Phone Number
509-522-2522
Fax Number
509-522-0467
person
Provider Business Mailing Address Details
Address
1129 South 2Nd Ave
City
Walla Walla
State
Washington
Zip
99362
Phone Number
509-522-2522
Fax Number
509-522-0467
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DE00008037 (Washington)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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