Organization
BRIAN R. SHAFER DDS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN RAY SHAFER D.D.S. (OWNER)
(405) 262-2739
Entity
Organization
Contact information
Practice address
701 W WATTS ST, EL RENO, OK 73036-4458
(405) 262-2739
(405) 262-2905
Mailing address
701 W WATTS ST, EL RENO, OK 73036-4458
(405) 262-2739
(405) 262-2905
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5388
OK
Other
Enumeration date
02/08/2008
Last updated
02/08/2008
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