Individual
DR. JEFFREY W SHIRAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5310 BURNET RD, SUITE 108, AUSTIN, TX 78756-2003
(512) 458-5999
Mailing address
5310 BURNET RD, SUITE 108, AUSTIN, TX 78756-2003
(512) 458-5999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN17289
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
970972
—
AZ
Enumeration date
06/13/2006
Last updated
07/10/2012
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