Individual
BRETT R SCHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
750 MORTIMER ST, BARRY, IL 62312-1247
(217) 335-2397
(217) 335-2398
Mailing address
750 MORTIMER ST, BARRY, IL 62312-1247
(217) 335-2397
(217) 335-2398
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
01902907
IL
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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