Individual
DANETTE SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2712 W 34TH ST, ERIE, PA 16506-3378
(814) 838-9668
Mailing address
2712 W 34TH ST, ERIE, PA 16506-3378
(814) 838-9668
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH012020L
PA
Other
Enumeration date
01/13/2015
Last updated
01/04/2022
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