Jonathan R Shaw DDS Ps

NPI #1982711818 in Colville, Washington

Provider Information

NPI Number: 1982711818
Entity Type: Organization
Organization Name: Jonathan R Shaw DDS Ps
Primary Specialty: Dentist
Enumeration Date: Aug 24, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 214 WEST BIRCH
City: Colville
State: Washington
ZIP Code: 99114
Phone: (509) 684-6138

Authorized Official

Name: DR. JONATHAN R SHAW, DDS
Title: PRESIDENT OF CORP
Phone: (509) 684-6138

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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