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1508960170
ROBERT WILLIAM SHAFER
CHAMPAIGN, IL
NPI
1508960170
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: IL 19022993)
Enumeration Date
2006-09-12
Last Update Date
2007-07-08
Business Address
Dr. ROBERT WILLIAM SHAFER DMD
2902 CROSSING CT SUITE A
CHAMPAIGN, IL 61822-6175
Phone number: 217-356-9595
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Mailing Address
Dr. ROBERT WILLIAM SHAFER DMD
2902 CROSSING CT SUITE A
CHAMPAIGN, IL 61822-6175
Phone number: 217-356-9595
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