Individual
DR. LYNN CARLTON SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3218 N GRIMES ST, HOBBS, NM 88240-1254
(505) 392-7565
Mailing address
3218 N GRIMES ST, HOBBS, NM 88240-1254
(505) 392-7565
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD1042
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88146
—
NM
Enumeration date
08/14/2006
Last updated
07/08/2007
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