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Shoreline Anesthesia, LLC

NPI #1407445620 in Kokomo, Indiana

Provider Information

NPI Number
1407445620
Entity Type
Organization
Organization Name
Shoreline Anesthesia, LLC
Primary Specialty
Dentist - Dental Anesthesiology
Enumeration Date
Jan 12, 2021
Last Updated
Jan 12, 2021

Practice Location

Address
101 N UNION ST UNIT 533
City
Kokomo
State
Indiana
ZIP Code
46901-5045
Phone
(718) 644-0622

Authorized Official

Name
DR. THOMAS JOHN SCHAFFER, DDS
Title
PRESIDENT
Phone
(718) 644-0622

Specialties & Taxonomy Codes

Specialty
Dentist - Dental Anesthesiology — Dental Anesthesiology

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