Individual
DR. PAUL ALAN SHADID II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1001 SW 89TH ST, OKLAHOMA CITY, OK 73139-9233
(405) 631-1531
Mailing address
1001 SW 89TH ST, OKLAHOMA CITY, OK 73139-9233
(405) 631-1531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6797
OK
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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