NPI | 1770315954 |
---|---|
Doing Business As | CUSTER DENTAL STUDIO |
Entity Type | Organization |
Authorized Contact | KARI BOLEN President/General Dentist 605-261-6488 |
Organization Subpart ? | No |
Primary Taxonomy | 172V00000X Community Health Worker |
Enumeration Date | 2024-08-16 |
Last Update Date | 2024-08-16 |