Individual
DR. EARL LEWIS SHUFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3524 BOULEVARD, COLONIAL HEIGHTS, VA 23834-1320
(804) 520-4092
(804) 520-4093
Mailing address
3524 BOULEVARD, COLONIAL HEIGHTS, VA 23834-1320
(804) 520-4092
(804) 520-4093
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401007981
VA
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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