Organization
SHAW PEDIATRIC DENTISTRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN PATRICK SHAW DMD (PRESIDENT)
(412) 401-1402
Entity
Organization
Contact information
Practice address
1600 PACIFIC AVE, SUITE 1, NATRONA HEIGHTS, PA 15065-2138
(714) 224-0790
(724) 224-2136
Mailing address
1600 PACIFIC AVE, SUITE 1, NATRONA HEIGHTS, PA 15065-2138
(714) 224-0790
(724) 224-2136
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS037821
PA
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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