Individual
DR. WILLIAM MARK SHIDELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8 NORTH GARFIELD AVENUE, VALPARAISO, IN 46383-5019
(219) 462-7391
(219) 464-0262
Mailing address
8 NORTH GARFIELD AVENUE, VALPARAISO, IN 46383-5019
(219) 462-7391
(219) 464-0262
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007898A
IN
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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