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
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