Individual
DARRELL D SCHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1100 S PIONEER WAY, MOSES LAKE, WA 98837-2346
(509) 765-5615
(509) 765-7915
Mailing address
1100 S PIONEER WAY, MOSES LAKE, WA 98837-2346
(509) 765-5615
(509) 765-7915
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3139
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5237904
—
WA
Enumeration date
02/20/2007
Last updated
07/08/2007
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