| 419 Dental Of Toledo-custer Dmd, Llc. | |
|
5429 Secor Rd Toledo OH 43623-1930 | |
| (419) 948-3384 | |
| Not Available |
| Full Name | 419 Dental Of Toledo-custer Dmd, Llc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5429 Secor Rd, Toledo, Ohio |
| Authorized Official Name and Position | Brian Allan Custer (OWNER/DENTIST) |
| Authorized Official Contact | 4199483384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 419 Dental Of Toledo-custer Dmd, Llc. 5429 Secor Rd Toledo OH 43623-1930 Ph: (419) 948-3384 | 419 Dental Of Toledo-custer Dmd, Llc. 5429 Secor Rd Toledo OH 43623-1930 Ph: (419) 948-3384 |
| NPI Number | 1336887090 |
|---|---|
| Provider Enumeration Date | 05/23/2022 |
| Last Update Date | 05/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336887090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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