Organization
DENNIS J. CUSTER, D.D.S., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS JAMES CUSTER D.D.S. (OWNER/AUTHORIZED OFFICIAL)
(419) 756-0321
Entity
Organization
Contact information
Practice address
564 S TRIMBLE RD, SUITE A, MANSFIELD, OH 44906-3418
(419) 756-0321
(419) 756-4430
Mailing address
564 S TRIMBLE RD, SUITE A, MANSFIELD, OH 44906-3418
(419) 756-0321
(419) 756-4430
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
17639
OH
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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