Individual
DR. GARY GRAHAM SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
435 W 600 N, TREMONTON, UT 84337-2411
(435) 257-3000
(435) 257-7429
Mailing address
PO BOX 145, TREMONTON, UT 84337-0145
(435) 257-3000
(435) 257-7429
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
983603359923
UT
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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