Individual
DAVID BRIAN SHADID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MSD
Contact information
Practice address
1201 N STONEWALL AVE, OKLAHOMA CITY, OK 73117
(405) 271-5550
Mailing address
1201 N STONEWALL AVE, OKLAHOMA CITY, OK 73117-1214
(405) 271-5550
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
512734
OK
Other
Enumeration date
05/23/2008
Last updated
07/03/2019
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