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Organization
WILLETTE SHAEFFER DMD PA
Active
Organization
WILLETTE SHAEFFER DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLETTE SHAEFFER DMD (PRESIDENT)
(904) 642-1139
Entity
Organization
Contact information
Practice address
2711-2 SAINT JOHNS BLUFF RD S, JACKSONVILLE, FL 32246-3703
(904) 642-1139
(904) 642-7858
Mailing address
2711-2 SAINT JOHNS BLUFF RD S, JACKSONVILLE, FL 32246-3703
(904) 642-1139
(904) 642-7858
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN15241
FL
Other
Enumeration date
03/09/2007
Last updated
08/22/2020
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