MR. Grady D Shaver, DMD

NPI #1093049306 in Pendleton, Oregon

Provider Information

NPI Number: 1093049306
Entity Type: Individual
Name: MR. Grady D Shaver, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Sep 21, 2009
Last Updated: Mar 9, 2016

Practice Location

Address: 73265 CONFEDERATED WAY
City: Pendleton
State: Oregon
ZIP Code: 97801-0160
Phone: (541) 966-9830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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