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Individual

ROBERT LANE SHAFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
8210 FLOYD CURL DR, SAN ANTONIO, TX 78229-3923
(210) 450-3700
Mailing address
3711 MEDICAL DR APT 2736, SAN ANTONIO, TX 78229-2351
(217) 714-8917

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
ETN1100
TX

Other

Enumeration date
11/30/2023
Last updated
11/30/2023
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