Individual
MR. JOHN M SHADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3830 FIRWOOD CIR SE, ALBANY, OR 97322-5840
(541) 967-7351
Mailing address
3830 FIRWOOD CIR SE, ALBANY, OR 97322-5840
(541) 967-7351
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6442
OR
Other
Enumeration date
09/27/2005
Last updated
07/08/2007
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