Individual
DR. JOHN DAVID GERHAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
90 VANDENBERG DR, BLDG 1900, 66 MDS, HANSCOM AFB, MA 01731
(781) 255-6324
Mailing address
66 MDS, BLDG 1900 66 MDS, HANSCOM AFB, MA 01731
(781) 255-6324
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6237356-9921
UT
Other
Enumeration date
02/16/2013
Last updated
01/27/2016
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