Organization
CHRISTIAN C. CUSIMANO DDS, MS, PC
Active
Organization
CHRISTIAN C. CUSIMANO DDS, MS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS C. CUSIMANO DDS, MS (ORTHODONTIST)
(208) 467-4362
Entity
Organization
Contact information
Practice address
345 W IOWA AVE, NAMPA, ID 83686-2856
(208) 467-4362
(208) 463-9080
Mailing address
345 W IOWA AVE, NAMPA, ID 83686-2856
(208) 467-4362
(208) 463-9080
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D-3247-OR
ID
Other
Enumeration date
11/08/2006
Last updated
04/02/2015
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