Individual
DR. PAUL A. SHADID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1001 SW 89TH ST, OKLAHOMA CITY, OK 73139-9233
(405) 631-1531
(405) 631-7778
Mailing address
1001 SW 89TH ST, OKLAHOMA CITY, OK 73139-9233
(405) 631-1531
(405) 631-7778
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4630
OK
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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