Individual
MICHAEL ANDREW SHUSTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
255 PARK AVE, SUITE 509, WORCESTER, MA 01609-1953
(508) 754-7799
Mailing address
20 LEXINGTON RD, SHREWSBURY, MA 01545-2267
(508) 754-7799
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20643
MA
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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