Individual
MATTHEW SHAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
11333 E KELLOGG DR STE 900, WICHITA, KS 67207-1960
(316) 867-9987
(316) 867-9003
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
62060
KS
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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