Organization
SHIDELER DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM MARK SHIDELER (DDS)
(219) 462-7391
Entity
Organization
Contact information
Practice address
8 N GARFIELD, VALPARAISO, IN 46383-5019
(219) 462-7391
(219) 464-0262
Mailing address
8 N GARFIELD, VALPARAISO, IN 46383-5019
(219) 462-7391
(219) 464-0262
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007898
IN
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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