Individual
DR. GREGORY ERIC CUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13615 N CEDARBURG ROAD, MEQUON, WI 53097
(262) 377-1071
(262) 377-1018
Mailing address
13615 N CEDARBURG ROAD, MEQUON, WI 53097
(262) 377-1071
(262) 377-1018
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001876015
WI
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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