Search › Virginia › 122300000X
Kerin Gustafson, DMD
NPI 1811523459 · on the registry since 2020
Practice
- Address
- 2204 General Booth Blvd Ste 400
Virginia Beach, VA 23454 - Phone
- (757) 821-7397
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-09-15
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 Virginia