Wendell Wilson Shaffer DDS

NPI 1508874777 - Dentist - 122300000X

NPI Details
NPI 1508874777
Gender Male
Enumeration Date 08/04/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
17601 W 130TH ST
N ROYALTON OH, 44256, US
Phone (440) 582-0550
Fax
Business Location
17601 W 130TH ST
N ROYALTON OH, 44133, US
Phone (440) 582-0550
Fax (440) 582-0550
Toxanomy
Taxonomy Code 122300000X
License State Ohio
License Number 30016249
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According to our database, Dr. Wendell Wilson Shaffer DDS NPI is 1508874777, taxonomy code is 122300000X and license number is 30016249, license state is located at Ohio. Wendell Wilson Shaffer DDS physically located at 17601 W 130th St, N Royalton OH, 44256. NPI Number Wendell Wilson Shaffer DDS has the Individual type.

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1508874777 NPI number is provided on an as is basis without warranty of any kind. 1508874777 is maintained by the National Plan & Provider Enumeration System. The contents of Wendell Wilson Shaffer DDS are for informational purposes only.