DR. Jeremiah Jer Hjen Shaw, D.D.S.

NPI #1093850851 in West Covina, California

Provider Information

NPI Number: 1093850851
Entity Type: Individual
Name: DR. Jeremiah Jer Hjen Shaw, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Feb 20, 2007
Last Updated: Mar 8, 2019

Practice Location

Address: 4141 S NOGALES ST UNIT B103
City: West Covina
State: California
ZIP Code: 91792-3057
Phone: (626) 935-5822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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