Individual
DR. DEBORAH L SCHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
400 WASHINGTON ST, WAYLAND, NY 14572-1328
(585) 728-3830
Mailing address
PO BOX 368, WAYLAND, NY 14572-0368
(585) 728-3830
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
044004
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01480006
—
NY
Enumeration date
09/19/2012
Last updated
09/19/2012
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