Organization
JAY IAN SHAW DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY SHAW DDS (PRESIDENT)
(216) 321-9399
Entity
Organization
Contact information
Practice address
2278 LEE RD, CLEVELAND HEIGHTS, OH 44118-3433
(216) 321-9399
Mailing address
2278 LEE RD, CLEVELAND HEIGHTS, OH 44118
(216) 321-9399
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
OH 14861
OH
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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