Organization
ARCHBOLD FAMILY DENTAL-BRIAN A CUSTER DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN ALLAN CUSTER DMD (OWNER/DENTIST)
(419) 445-8176
Entity
Organization
Contact information
Practice address
311 W HOLLAND ST, ARCHBOLD, OH 43502-1125
(419) 445-8176
(419) 445-8177
Mailing address
311 W HOLLAND ST, ARCHBOLD, OH 43502-1125
(419) 445-8176
(419) 445-8177
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
OH
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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