Individual
GEORGE ELWOOD SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD,FICD
Contact information
Practice address
306 MAIN ST, #202, KETCHIKAN, AK 99901-6430
(907) 225-9439
(907) 247-9430
Mailing address
306 MAIN ST, #202, KETCHIKAN, AK 99901-6430
(907) 225-9439
(907) 247-9430
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AS 0466
AK
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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