JACK C SHADER DDS PC
Dentist at Sashabaw Rd, Clarkston, MI

License number
Michigan 11126
Category
Dentist
Type
General Practice
Owner
Name: DR. JACK C SHADER DDS
Title: PRESIDENT
Phone: (248) 625-9444
Address
Address
6300 Sashabaw Rd STE A, Clarkston, MI 48436
National Provider ID: 1912000977
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JACK C. SHADER, D.D.S., PROFESSIONAL CORPORATION

Clarkston, MI

Registration:
Aug 1, 1978
Addresses:
6300 Sashabaw Rd, Clarkston, MI 48346 (Physical)
Michigan (Mailing)
State ID:
108276
Business type:
Domestic Professional Service Corporation
Agent:
Jack C. Shader, D.d.s

Dentist licenses in Michigan