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Individual
PARKER SHIFFLER
Active
Individual
PARKER SHIFFLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
64079
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
11640344-9924
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2013
Last updated
04/13/2022
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