DR. Micah Michelle Shaw, DMD
NPI #1801516828 in Lemon Grove, California
Provider Information
- NPI Number
- 1801516828
- Entity Type
- Individual
- Name
- DR. Micah Michelle Shaw, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- Aug 30, 2022
- Last Updated
- Aug 30, 2022
Practice Location
- Address
- 1422 EL PRADO AVE
- City
- Lemon Grove
- State
- California
- ZIP Code
- 91945-4310
- Phone
- (619) 980-9721
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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