Individual
ANGELA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9961 EAST VALLEY BLVD., SUITE E, EL MONTE, CA 91731-1053
(626) 372-7858
Mailing address
9961 EAST VALLEY BLVD., SUITE E, EL MONTE, CA 91731-1053
(626) 372-7858
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
63951
CA
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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