MR. Ryan R Gustafson, D.D.S
NPI #1376816462 in Hanscom Afb, Massachusetts
Provider Information
- NPI Number
- 1376816462
- Entity Type
- Individual
- Name
- MR. Ryan R Gustafson, D.D.S
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- D.D.S
- Enumeration Date
- Feb 20, 2012
- Last Updated
- Jan 14, 2016
Practice Location
- Address
- 90 VANDENBERG DR
- Address 2
- 66 MDS (AFMC)
- City
- Hanscom Afb
- State
- Massachusetts
- ZIP Code
- 01731-2104
- Phone
- (781) 225-6789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Dentist |
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