DR. Kenneth John Shaw, DDS
NPI #1801988167 in Cotati, California
Provider Information
- NPI Number
- 1801988167
- Entity Type
- Individual
- Name
- DR. Kenneth John Shaw, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Sep 28, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 8125 LA PLZ
- City
- Cotati
- State
- California
- ZIP Code
- 94931-4244
- Phone
- (707) 795-6424
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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