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Organization
BRIAN R. SHAFER DDS, P.C.
Active
Organization
BRIAN R. SHAFER DDS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN RAY SHAFER D.D.S. (OWNER)
(405) 262-2739
Entity
Organization
Contact information
Practice address
701 W WATTS ST, EL RENO, OK 73036-4458
(405) 262-2739
(405) 262-2905
Mailing address
701 W WATTS ST, EL RENO, OK 73036-4458
(405) 262-2739
(405) 262-2905
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5388
OK
Other
Enumeration date
02/08/2008
Last updated
02/08/2008
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