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DAVID SHAFER DMD

Surgery Yellow Pages

Farmington, Connecticut

Provider NPI: 1528065992

Provider Information:
 DAVID  SHAFER DMD


Practice Location:
263 FARMINGTON AVE  FARMINGTON, CT 06030 US
Tel: 860-679-3300  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N1223S0112XDental Providers
Dentist
Oral and Maxillofacial Surgery
CT007624
Y204E00000XPhysicians
Oral & Maxillofacial Surgery
CT007624

Other Provider Identifiers:

IssuerNumberStateType
002076249CT05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



JOBS CT - Page 1

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