DR. Randolph S Shaw, DDS

NPI #1710006218 in Englewood, Ohio

Provider Information

NPI Number
1710006218
Entity Type
Individual
Name
DR. Randolph S Shaw, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Mar 28, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1080 UNION BLVD
State
Ohio
ZIP Code
45322-2223
Phone
(937) 836-7592

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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