Individual
IAN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1180 7TH AVE, MARION, IA 52302-3402
(319) 423-9350
Mailing address
1180 7TH AVE, MARION, IA 52302-3402
(319) 423-9350
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08334
IA
Other
Enumeration date
12/21/2006
Last updated
03/28/2017
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