Individual
DR. BRIAN RAY SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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
1223G0001X
General Practice Dentistry
Primary
5388
OK
Other
Enumeration date
09/19/2006
Last updated
07/08/2007
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