DANIEL L CUSTIS

CUSTER, SD
NPI1841214780
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: SD  M-490)
Enumeration Date2006-07-26
Last Update Date2007-07-08
Business Address
Dr. DANIEL L CUSTIS DDS
141 N 5TH ST
CUSTER, SD 57730-1528
Phone number: 605-673-2011
Mailing Address
Dr. DANIEL L CUSTIS DDS
141 N 5TH ST
CUSTER, SD 57730-1528
Phone number: 605-673-2011