Individual
DR. JACK GOLDBERG SHTEREMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
501 S PRESTON ST, LOUISVILLE, KY 40202-1701
(502) 852-6928
Mailing address
1104 MALLARD CREEK RD, LOUISVILLE, KY 40207-5811
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
9549
KY
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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