Individual
DR. TYLER G SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
515 20TH AVE SE STE 8, MINOT, ND 58701-6661
(701) 852-4755
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2395
ND
Other
Enumeration date
06/11/2008
Last updated
02/21/2025
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