Itien Emily Shaw, DDS, MD

NPI #1033409834 in Sacramento, California

Provider Information

NPI Number
1033409834
Entity Type
Individual
Name
Itien Emily Shaw, DDS, MD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
DDS, MD
Enumeration Date
Apr 13, 2011
Last Updated
May 16, 2019

Practice Location

Address
4170 TRUXEL RD STE C
ZIP Code
95834-3758
Phone
(844) 673-9131

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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