GLEN M SHIMSHAK

PORTLAND, OR
NPI1205948130
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: OR  4978)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
DR. GLEN M SHIMSHAK DMD
511 SW 10TH #1008
PORTLAND, OR 97205
Phone number: 503-223-2442
Mailing Address
DR. GLEN M SHIMSHAK DMD
511 SW 10TH #1008
PORTLAND, OR 97205
Phone number: 503-223-2442