Jerome S Kustin D.d.s.

NPI #1265414536 in Parma, Ohio

Provider Information

NPI Number: 1265414536
Entity Type: Organization
Organization Name: Jerome S Kustin D.d.s.
Primary Specialty: Dentist
Enumeration Date: Nov 14, 2005
Last Updated: Nov 29, 2010

Practice Location

Address: 5455 BROADVIEW RD.
Address 2: #100
City: Parma
State: Ohio
ZIP Code: 44134
Phone: (216) 741-4600

Authorized Official

Name: DR. JEROME S KUSTIN, DDS
Title: DENTIST/OWNER
Phone: (216) 741-4600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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