William E Shores Jr Psc

NPI #1134493893 in Lexington, Kentucky

Provider Information

NPI Number: 1134493893
Entity Type: Organization
Organization Name: William E Shores Jr Psc
Primary Specialty: Dentist
Enumeration Date: Feb 28, 2012
Last Updated: Feb 28, 2012

Practice Location

Address: 3122 CUSTER DR
Address 2: STE B
City: Lexington
State: Kentucky
ZIP Code: 40517-4000
Phone: (859) 273-2224

Authorized Official

Name: DR. WILLIAM E SHORES JR., D.M.D.
Title: PRESIDENT
Phone: (859) 273-2224

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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