Individual
DR. NATHAN W SHIRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1036 ELM ST SW, ALBANY, OR 97321-2039
(541) 928-2993
(541) 926-0339
Mailing address
1036 ELM ST SW, ALBANY, OR 97321-2039
(541) 928-2993
(541) 926-0339
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9303
OR
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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