| NPI | 1134288434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRON F SHUSTER Owner 502-451-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: KY 4639) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |