Individual provider · Type 1 NPI

John Victor Gustafson, DMD, MAGD, FADI

General Practice Dentistry · Elizabethtown, PA

NPI number 1366533564 Active

About NPI 1366533564

John Victor Gustafson, DMD, MAGD, FADI's National Provider Identifier is 1366533564, issued on Sep 27, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Elizabethtown, PA. The record was last updated on Jul 8, 2007.