| Christian C. Cusimano Dds, Ms, Pc | |
|
345 W Iowa Ave Nampa ID 83686-2856 | |
| (208) 467-4362 | |
| (208) 463-9080 |
| Full Name | Christian C. Cusimano Dds, Ms, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 345 W Iowa Ave, Nampa, Idaho |
| Authorized Official Name and Position | Chris C. Cusimano (ORTHODONTIST) |
| Authorized Official Contact | 2084674362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christian C. Cusimano Dds, Ms, Pc 345 W Iowa Ave Nampa ID 83686-2856 Ph: (208) 467-4362 | Christian C. Cusimano Dds, Ms, Pc 345 W Iowa Ave Nampa ID 83686-2856 Ph: (208) 467-4362 |
| NPI Number | 1083784946 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 04/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083784946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D-3247-OR (Idaho) | Primary |
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