Individual
HEATHER K SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5204 E AGAVE VISTA DR, TUCSON, AZ 85756-8685
(520) 358-6924
Mailing address
5204 E AGAVE VISTA DR, TUCSON, AZ 85756-8685
(520) 358-6924
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H06310
AZ
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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