DR. Gary Graham Shaw, DDS

NPI #1215026612 in Tremonton, Utah

Provider Information

NPI Number: 1215026612
Entity Type: Individual
Name: DR. Gary Graham Shaw, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Oct 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 435 W 600 N
City: Tremonton
State: Utah
ZIP Code: 84337-2411
Phone: (435) 257-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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