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Individual

RHETT SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
328 BUSINESS PARK DR, CHINO VALLEY, AZ 86323-5765
(928) 636-6872
Mailing address
328 BUSINESS PARK DR, CHINO VALLEY, AZ 86323-5765

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D012807
AZ

Other

Enumeration date
05/27/2026
Last updated
05/27/2026
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