Search › Massachusetts › 122300000X
Ryan Gustafson, D.D.S
NPI 1376816462 · on the registry since 2012 · sole proprietor
Practice
- Address
- 90 Vandenberg Dr
66 Mds (Afmc)
Hanscom Afb, MA 01731 - Phone
- (781) 225-6789
- Fax
- (781) 225-2561
- Organisation at this address
- 66th Medsq-Hanscom
66th Medsq-HanscomInferred from a shared address, not stated in the registry. - Clinicians at this address
- 43
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-01-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts