Gustavo Pena-velasco, D.D.S., M.S. is an oral and maxillofacial surgery dentist in Saint Cloud, MN. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Gustavo Pena-velasco, D.D.S., M.S. NPI is 1851346639. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3950 VETERANS DR
SUITE 100
SAINT CLOUD, MN
ZIP 56303-410
Phone: (320) 252-3611
Fax: (320) 252-7574
The NPI 1851346639 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/23/2006 and was last updated on 3/14/2011.