Individual
DAVID SHANE VERSCHUEREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D, M.D.
Contact information
Practice address
601 SE 117TH AVE STE 120, VANCOUVER, WA 98683-5297
(360) 695-4300
(360) 695-4344
Mailing address
601 SE 117TH AVE STE 120, VANCOUVER, WA 98683-5297
(360) 695-4300
(360) 695-4344
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
MD60071474
WA
Other
Enumeration date
06/11/2007
Last updated
07/22/2009
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