Individual
DANIEL CUSUMANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
650 E 25TH ST, KANSAS CITY, MO 64108-2716
(816) 235-2121
Mailing address
619 E ARMOUR BLVD APT 408, KANSAS CITY, MO 64109-2297
(314) 960-4216
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2017002811
MO
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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