Organization
SHAWN M CUSTER DENTAL PLLC
Active
Other names
Benchmark Dental of Greeley
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN MICHAEL CUSTER DDS (OWNER DOCTOR)
(402) 669-4971
Entity
Organization
Contact information
Practice address
3400 W 16TH ST STE 8E, GREELEY, CO 80634-6862
(970) 352-5448
Mailing address
3400 W 16TH ST STE 8E, GREELEY, CO 80634-6862
(970) 352-5448
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
00203394
CO
Other
Enumeration date
05/01/2018
Last updated
09/10/2021
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