Individual
DR. CHRISTIAN CUSIMANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
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
05/14/2014
Last updated
04/02/2015
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