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Individual

DR. BARRY SHAFFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
16311 VENTURA BOULEVARD, SUITE 1250, ENCINO, CA 91436-2403
(818) 789-0555
(818) 789-0501
Mailing address
16311 VENTURA BLVD, SUITE 1250, ENCINO, CA 91436-2124
(818) 789-0555
(818) 789-5011

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24177
CA

Other

Enumeration date
09/23/2006
Last updated
01/18/2013
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