DR. Daniel J Shaw, DDS

NPI #1104349182 in Coeur D Alene, Idaho

Provider Information

NPI Number
1104349182
Entity Type
Individual
Name
DR. Daniel J Shaw, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jul 20, 2017
Last Updated
Jul 20, 2017

Practice Location

Address
943 W IRONWOOD DR STE 200
State
Idaho
ZIP Code
83814-4904
Phone
(855) 433-6825

Specialties & Taxonomy Codes

Specialty
Dentist

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