Daniel L. Custis, Dds, P.c.

NPI 1043351018 - Dentist - 1223G0001X

NPI Details
NPI 1043351018
Enumeration Date 02/10/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name DANIEL LEE DANIEL
Position PRESIDENT
Phone (605) 673-2011
Fax
Practice Location
141 N 5TH ST
CUSTER SD, 57730-1528, US
Phone (605) 673-2011
Fax
Business Location
141 N 5TH ST
CUSTER SD, 57730-1528, US
Phone (605) 673-2011
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State South Dakota
License Number M-490
Remove 1043351018 NPI Number
 

According to our database, Daniel L. Custis, Dds, P.c. NPI is 1043351018, taxonomy code is 1223G0001X and license number is M-490, license state is located at South Dakota. Daniel L. Custis, Dds, P.c. physically located at 141 N 5th St, Custer SD, 57730-1528. NPI Number 1033115704 has the healthcare provider type.

1043351018 NPI number is provided on an as is basis without warranty of any kind. 1043351018 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel L. Custis, Dds, P.c. are for informational purposes only.