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Organization
SHIRER FAMILY DENTISTRY P.C.
Active
Organization
SHIRER FAMILY DENTISTRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENEE M SHIRER D.D.S. (PRESIDENT)
(765) 742-4944
Entity
Organization
Contact information
Practice address
709 S 18TH ST, SUITE E, LAFAYETTE, IN 47905-1575
(765) 742-4944
(765) 742-7672
Mailing address
709 S 18TH ST, SUITE E, LAFAYETTE, IN 47905-1575
(765) 742-4944
(765) 742-7672
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12010070A
IN
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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