Individual
JAMES TODD SHANER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5005 N PIEDRAS ST, EL PASO, TX 79920-5002
(915) 742-5711
Mailing address
5005 N PIEDRAS ST, EL PASO, TX 79920-5002
(915) 742-5711
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2010019899
MO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2010019899
MO
Other
Enumeration date
08/19/2010
Last updated
07/21/2022
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