DR. Patrick Micheal Cusack, DMD,MSD

NPI #1073733275 in Peoria, Illinois

Provider Information

NPI Number
1073733275
Entity Type
Individual
Name
DR. Patrick Micheal Cusack, DMD,MSD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Credential
DMD,MSD
Enumeration Date
Apr 27, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1324 W. NORTHMOOR RD.
City
Peoria
ZIP Code
61614
Phone
(309) 693-3200

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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