JEFFREY JOSEPH SHAMBAUGH

FORT WAYNE, IN
NPI1811080948
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12010642A)
Enumeration Date2006-10-02
Last Update Date2007-07-08
Business Address
-- JEFFREY JOSEPH SHAMBAUGH DMD
4341 FLAGSTAFF CV
FORT WAYNE, IN 46815-4400
Phone number: 260-493-2432
Mailing Address
-- JEFFREY JOSEPH SHAMBAUGH DMD
4341 FLAGSTAFF CV
FORT WAYNE, IN 46815-4400
Phone number: 260-493-2432
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