Individual
DR. RYAN PATRICK SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4119 SW 9TH ST, DES MOINES, IA 50315-3466
(515) 281-0700
Mailing address
411 SW 12TH ST UNIT 104, DES MOINES, IA 50309-4316
(515) 664-7586
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-09776
IA
Other
Enumeration date
06/19/2020
Last updated
10/04/2021
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