Jerry L. Shaw, D.d.s.

NPI #1205111432 in Farr West, Utah

Provider Information

NPI Number
1205111432
Entity Type
Organization
Organization Name
Jerry L. Shaw, D.d.s.
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Oct 19, 2011
Last Updated
Oct 19, 2011

Practice Location

Address
1761 N. 2000 W.
State
Utah
ZIP Code
84404-9541
Phone
(801) 731-4850

Authorized Official

Name
DR. JERRY L. SHAW, DDS
Title
OWNER
Phone
(801) 731-4850

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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