NPI | 1568838225 |
---|---|
Doing Business As | SHAMBAUGH DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | JEFFREY JOSEPH SHAMBAUGH Dentist/Owner 260-493-2432 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12010642A) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12011943A) |
Enumeration Date | 2015-08-18 |
Last Update Date | 2015-08-18 |