MARK D. SHAFER

GRANGER, IN
NPI1962530238
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IN  12009526)
Enumeration Date2007-03-01
Last Update Date2007-07-08
Business Address
Dr. MARK D. SHAFER DDS
51410 BITTERSWEET RD
GRANGER, IN 46530-9119
Phone number: 574-277-7995
Mailing Address
Dr. MARK D. SHAFER DDS
51410 BITTERSWEET RD
GRANGER, IN 46530-9119
Phone number: 574-277-7995