DR. Mark D. Shafer, DDS

NPI #1962530238 in Granger, Indiana

Provider Information

NPI Number: 1962530238
Entity Type: Individual
Name: DR. Mark D. Shafer, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Mar 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 51410 BITTERSWEET RD
City: Granger
State: Indiana
ZIP Code: 46530-9119
Phone: (574) 277-7995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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