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Individual

DR. DAVID A SHALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S., MD

Contact information

Practice address
5690 MONROE ST, SYLVANIA, OH 43560-2736
(419) 479-3939
(419) 479-3933
Mailing address
5690 MONROE ST, SYLVANIA, OH 43560-2736
(419) 479-3939
(419) 479-3933

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
30.023350
OH
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
30.023350
OH

Other

Enumeration date
04/16/2009
Last updated
08/01/2019
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