NPI 1083784946

Christian C. Cusimano DDS, Ms, PC

Organisation Orthodontics and Dentofacial Orthopedics Dentistry Nampa, ID

Practice location

Address: 345 W Iowa Ave, Nampa, ID 83686-2856
Phone: (208) 467-4362
Fax: (208) 463-9080

Authorised official

Name: Chris C. Cusimano
Title: Orthodontist
Phone: (208) 467-4362

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence D-3247-OR (ID)

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Registry record

NPI: 1083784946
Entity type: Organization
NPI issued: 8 Nov 2006
Record last updated: 2 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.