William E. Cusack DDS

NPI 1538173216 - Dentist - 1223P0300X

NPI Details
NPI 1538173216
Gender Male
Enumeration Date 07/28/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
5013 N UNIVERSITY ST
STE. 2
PEORIA IL, 61614-4792, US
Phone (309) 693-2220
Fax (309) 693-2272
Business Location
5013 N UNIVERSITY ST
STE. 2
PEORIA IL, 61614-4792, US
Phone (309) 693-2220
Fax (309) 693-2272
Toxanomy
Taxonomy Code 1223P0300X
License State
License Number
Remove 1538173216 NPI Number
 

According to our database, Dr. William E. Cusack DDS NPI is 1538173216, taxonomy code is 1223P0300X William E. Cusack DDS physically located at 5013 N University St, Peoria IL, 61614-4792. NPI Number William E. Cusack DDS has the Individual type.

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1538173216 NPI number is provided on an as is basis without warranty of any kind. 1538173216 is maintained by the National Plan & Provider Enumeration System. The contents of William E. Cusack DDS are for informational purposes only.