DR. Gary R Shaw, D.D.S.
NPI #1154587087 in University Place, Washington
Provider Information
- NPI Number
- 1154587087
- Entity Type
- Individual
- Name
- DR. Gary R Shaw, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- D.D.S.
- Enumeration Date
- Jul 30, 2008
- Last Updated
- Jul 30, 2008
Practice Location
- Address
- 4103 BRIDGEPORT WAY W
- Address 2
- STE A
- City
- University Place
- State
- Washington
- ZIP Code
- 98466-4300
- Phone
- (253) 565-4474
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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