George Elwood Shaffer, DMD,FICD

NPI #1134323983 in Ketchikan, Alaska

Provider Information

NPI Number: 1134323983
Entity Type: Individual
Name: George Elwood Shaffer, DMD,FICD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD,FICD
Enumeration Date: Jun 14, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 306 MAIN ST
Address 2: #202
City: Ketchikan
State: Alaska
ZIP Code: 99901-6430
Phone: (907) 225-9439

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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