MELISSA MARKS GUSTAFSON, DDS, PA is a dental clinic center in Charlotte, NC. MELISSA MARKS GUSTAFSON, DDS, PA NPI is 1962936104. The provider is registered as an organization entity type.
The provider Is Doing Business As Mallard Creek Family Dentistry.
The provider's business location address is:
3010 BAUCOM RD STE 200
CHARLOTTE, NC
ZIP 28269-765
Phone: (704) 596-0021
Fax: (704) 599-1155
The provider's authorized official is Melissa Gustafson .
The authorized official title is Practice Owner and has the following contact phone number (704) 596-0021.
The enumeration date for this NPI number is 4/14/2017 and was last updated on 4/14/2017.