William E. Cusack, D.d.s., Ltd.
NPI #1346060217 in Peoria, Illinois
Provider Information
- NPI Number
- 1346060217
- Entity Type
- Organization
- Organization Name
- William E. Cusack, D.d.s., Ltd.
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Oct 15, 2024
- Last Updated
- Oct 15, 2024
Practice Location
Authorized Official
- Name
- KIMBERLY SUE CUSACK
- Title
- PRESIDENT
- Phone
- (309) 360-8592
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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