DR. Allen John Shaw, DDS

NPI #1053329946 in Atlanta, Georgia

Provider Information

NPI Number: 1053329946
Entity Type: Individual
Name: DR. Allen John Shaw, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1610 LAVISTA RD NE
City: Atlanta
State: Georgia
ZIP Code: 30329
Phone: (404) 636-4171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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