Individual
DR. NOAH MICHAEL SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1500 MONTIANO LOOP SE, RIO RANCHO, NM 87124-8768
(347) 406-2244
(505) 559-4232
Mailing address
1500 MONTIANO LOOP SE, RIO RANCHO, NM 87124-8768
(347) 406-2244
(505) 559-4232
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD3321
NM
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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