Individual
DR. NATASHA IRENE CUSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2264 S STATE RD, IONIA, MI 48846-2149
(616) 527-6777
(616) 527-4647
Mailing address
642 E FENWICK RD, PO BOX 72, FENWICK, MI 48834-9704
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901018386
MI
Other
Enumeration date
01/18/2006
Last updated
07/08/2007
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