Individual
DR. DUANE ROBERT SCHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
520 N 12TH ST RM 315, RICHMOND, VA 23298-5064
(804) 828-5687
(804) 828-6234
Mailing address
PO BOX 8887, GREENVILLE, TX 75404-8887
(254) 212-1253
(866) 399-2814
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
041412314
VA
1223P0106X
Oral and Maxillofacial Pathology Dentistry
DS0000010158
TN
1223P0106X
Oral and Maxillofacial Pathology Dentistry
DSO23468L
PA
Other
Enumeration date
08/02/2005
Last updated
01/31/2019
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