Individual
DENNIS J. CUSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
511 LEE LORE DR, CHIPPEWA LAKE, OH 44215-9722
(330) 769-3554
(330) 769-2026
Mailing address
511 LEE LORE DR, CHIPPEWA LAKE, OH 44215-9722
(330) 769-3554
(330) 769-2026
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00117781
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0572518
—
OH
Enumeration date
11/17/2006
Last updated
07/08/2007
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