Individual
DR. KEVIN MICHAEL SHUSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
KEVIN SHUSTER
Contact information
Practice address
1727 WILLOW CREEK RD, PRESCOTT, AZ 86301-1154
(928) 776-1993
(928) 541-1176
Mailing address
1727 WILLOW CREEK RD, PRESCOTT, AZ 86301-1154
(928) 776-1993
(928) 541-1176
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3907
AZ
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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