| NPI | 1356578421 |
|---|---|
| Former Legal Business Name | JOHN M. SHADER, DMD |
| Entity Type | Organization |
| Authorized Contact | PATRICIA CLARE SHADER Office Manager/ Owner 541-451-1176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D6442) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2009-06-16 |