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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GUSTAVO PENA-VELASCO, D.D.S., M.S.

Active

GUSTAVO PENA-VELASCO, D.D.S., M.S. is a Oral & Maxillofacial Surgery healthcare provider located in SAINT CLOUD, Minnesota. NPI 1851346639 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · SAINT CLOUD, MN

Registration Details

NPI Number
1851346639
Provider Type
Individual
Gender
Male
NPI Issued
May 23, 2006 (20.266966517503 yrs)
Last Updated
Mar 14, 2011
License
D10925 (MN)

Practice Information

Address
3950 VETERANS DR
SUITE 100
SAINT CLOUD, MN, 563033410
Browse MN providers · Browse ZIP 56303
Phone
3202523611
Fax
3202527574
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X

Other Oral & Maxillofacial Surgery Providers in SAINT CLOUD, MN

Name Credential NPI
HAROLD MACHESKY D.D.S.,M.S. 1780639682
DONALD M. PRIMLEY D.D.S., M.S. 1003861865
ERIC STINE D.D.S., M.S. 1932156387
ROBERT J KECK D.D.S., M.S. 1902843683
RYAN D MORRIS D.D.S. 1326255241
DR. MICHAEL JEROME SCHIFF D.D.S. 1144547365
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.