| NPI | 1659962595 |
|---|---|
| Doing Business As | CUSTER DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | KARI BOLEN President Bolen Dental Pc 605-261-6488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2021-05-06 |