DR. Daniel L Custis, DDS
NPI #1841214780 in Custer, South Dakota
Provider Information
- NPI Number
- 1841214780
- Entity Type
- Individual
- Name
- DR. Daniel L Custis, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jul 26, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 141 N 5TH ST
- City
- Custer
- State
- South Dakota
- ZIP Code
- 57730-1528
- Phone
- (605) 673-2011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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