Shaw & Wiederhold Psc

NPI #1184998866 in Owensboro, Kentucky

Provider Information

NPI Number
1184998866
Entity Type
Organization
Organization Name
Shaw & Wiederhold Psc
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 28, 2012
Last Updated
Feb 28, 2012

Practice Location

Address
920 FREDERICA ST
Address 2
301
ZIP Code
42301-3050
Phone
(270) 926-7272

Authorized Official

Name
DR. KIN W SHAW, DMD
Title
PRESIDENT
Phone
(270) 926-7272

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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