Mark Alan Shaw, DDS
NPI #1831202068 in Elmira Heights, New York
Provider Information
- NPI Number
- 1831202068
- Entity Type
- Individual
- Name
- Mark Alan Shaw, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Aug 15, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2062 COLLEGE AVE
- City
- Elmira Heights
- State
- New York
- ZIP Code
- 14903-1651
- Phone
- (607) 734-7787
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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