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Dr. Brian Allan Custer, DMD
Student in an Organized Health Care Education/Training Program in Toledo, Ohio
NPI 1013322718

Brian Allan Custer is a Student in an Organized Health Care Education/Training Program based in Toledo, OH. Brian Allan Custer practices in Toledo, OH and has the professional credentials of DMD. The NPI Number for Brian Allan Custer is 1013322718 and holds a License No. RES.3462 (Ohio).

The current practice location address for Brian Allan Custer is 3000 Arlington Ave, Toledo, OH and can be reached out via phone at 419-383-3504 and via fax at 419-383-6127.

Location: 3000 Arlington Ave, Toledo, OH, 43614-2595
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013322718
Provider Name
Brian Allan Custer
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
3000 Arlington Ave, Toledo, OH, 43614-2595
Phone Number
419-383-3504
Fax Number
419-383-6127
Provider Enumeration Date
06/23/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3000 Arlington Ave
City
Toledo
State
Ohio
Zip
43614-2595
Phone Number
419-383-3504
Fax Number
419-383-6127
person
Provider Business Mailing Address Details
Address
3000 Arlington Ave
City
Toledo
State
Ohio
Zip
43614-2595
Phone Number
419-383-3504
Fax Number
419-383-6127
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
RES.3462 (Ohio)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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