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Individual

PATRICK J SHAFFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
150 WEST AVE, SUITE 101, TALLMADGE, OH 44278-2296
(330) 633-5133
Mailing address
279 ERNEST DR, TALLMADGE, OH 44278-1665

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30 . 015038
OH

Other

Enumeration date
10/02/2006
Last updated
07/08/2007
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