Search › Washington › 1223G0001X
Eric Gustavsen, DDS
NPI 1457431025 · on the registry since 2006
Practice
- Address
- 1129 South 2nd Ave
Suite A
Walla Walla, WA 99362 - Phone
- (509) 522-2522
- Fax
- (509) 522-0467
- Organisation at this address
- Gibree, Quirt, Mongrain, P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington