Individual
JOSHUA JOSEPH SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17081 W GREENWAY RD STE 120, SURPRISE, AZ 85388-9612
(623) 546-8400
Mailing address
17081 W GREENWAY RD STE 120, SURPRISE, AZ 85388-9612
(623) 546-8400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010092
AZ
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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