Shaw Family Dental Sc

NPI #1396162020 in Ellsworth, Wisconsin

Provider Information

NPI Number
1396162020
Entity Type
Organization
Organization Name
Shaw Family Dental Sc
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 19, 2014
Last Updated
Mar 19, 2014

Practice Location

Address
501 W. LUCAS LANE
ZIP Code
54011
Phone
(715) 273-3700

Authorized Official

Name
KRISAN SHAW
Title
OWNER
Phone
(715) 425-6081

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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