Individual
DR. CHARLES ANTHONY CUSIMANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
301 SAINT JOSEPH ST, MOBILE, AL 36602-4037
(251) 433-7717
(251) 433-9384
Mailing address
301 SAINT JOSEPH ST, MOBILE, AL 36602-4037
(251) 433-7717
(251) 433-9384
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5922
AL
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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