John M. Shader Dmd, PC

NPI #1356578421 in Lebanon, Oregon

Provider Information

NPI Number
1356578421
Entity Type
Organization
Organization Name
John M. Shader Dmd, PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 16, 2009
Last Updated
Jun 16, 2009

Practice Location

Address
100 E OAK ST
State
Oregon
ZIP Code
97355-4135
Phone
(541) 451-1176

Authorized Official

Name
MRS. PATRICIA CLARE SHADER
Title
OFFICE MANAGER/ OWNER
Phone
(541) 451-1176

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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