| NPI | 1659964310 |
|---|---|
| Doing Business As | CUSP DENTAL BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | ZANETA HAMLIN Managing Dentist/Owner 757-904-4347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-02-14 |
| Last Update Date | 2022-01-10 |