| NPI | 1548620560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRON SHUSTER President 502-451-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: KY 4639) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |