| Brian R. Shafer Dds, P.c. | |
|
701 W Watts St El Reno OK 73036-4458 | |
| (405) 262-2739 | |
| (405) 262-2905 |
| Full Name | Brian R. Shafer Dds, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 701 W Watts St, El Reno, Oklahoma |
| Authorized Official Name and Position | Brian Ray Shafer (OWNER) |
| Authorized Official Contact | 4052622739 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian R. Shafer Dds, P.c. 701 W Watts St El Reno OK 73036-4458 Ph: (405) 262-2739 | Brian R. Shafer Dds, P.c. 701 W Watts St El Reno OK 73036-4458 Ph: (405) 262-2739 |
| NPI Number | 1962680207 |
|---|---|
| Provider Enumeration Date | 02/08/2008 |
| Last Update Date | 02/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962680207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5388 (Oklahoma) | Primary |
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