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1346269107
TY DOUGLAS SHAFER
SOUTHLAKE, TX
NPI
1346269107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TX 21301)
Enumeration Date
2006-07-19
Last Update Date
2007-07-08
Business Address
Dr. TY DOUGLAS SHAFER D.D.S.
2000 E NORTHWEST PKWY
SOUTHLAKE, TX 76092-6514
Phone number: 817-416-2228
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Mailing Address
Dr. TY DOUGLAS SHAFER D.D.S.
2000 E NORTHWEST PKWY
SOUTHLAKE, TX 76092-6514
Phone number: 817-416-2228
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