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Brian Todd Shaffer, DMD

Dentist, General Practice in Vancouver, WA. Individual provider (NPI-1).

NPI number1346302007
StatusActive
Last updated in NPPESJul 9, 2007

Details

NPI
1346302007
Entity type
Individual (NPI-1)
Name
Brian Todd Shaffer
Credential
DMD
Sex
Male
Sole proprietor
No
Enumeration date
Dec 15, 2006
Last updated
Jul 9, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice5980WAYes

Practice location

3011 Columbia Street
Vancouver, WA 98660-2237

Phone 360-693-1291 · Fax 360-693-3392

Mailing address

3011 Columbia Street
Vancouver, WA 98660-2237

Phone 360-693-1291 · Fax 360-693-3392

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