Individual
DR. MARK D. SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
51410 BITTERSWEET RD, GRANGER, IN 46530-9119
(574) 277-7995
(574) 277-0184
Mailing address
51410 BITTERSWEET RD, GRANGER, IN 46530-9119
(574) 277-7995
(574) 277-0184
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009526
IN
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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