Custer, Gregory Eric
Custer, Gregory Eric is an individual health care provider with primary practice located at 13615 N Cedarburg Road , Mequon WI 53097. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Custer, Gregory Eric can be contacted via phone (262) 377-1071.Contact Information
Primary practice address
13615 N Cedarburg Road
Mequon WI 53097
Phone: (262) 377-1071
Fax: (262) 377-1018
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5001876015 | Wisconsin |
Profile Details
| NPI number | 1891808887 |
|---|---|
| LBN Legal business name | Custer, Gregory Eric |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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