Individual
DR. RICHARD JOHN GUSTAFERRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
35100 EUCLID AVENUE, SUITE #209, WILLOUGHBY, OH 44094-4510
(440) 946-1076
(440) 946-2276
Mailing address
35100 EUCLID AVENUE, SUITE #209, WILLOUGHBY, OH 44094-4510
(440) 946-1076
(440) 946-2276
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30016753
OH
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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