Individual
DR. ELIZABETH E SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10502 11TH AVE NE, SEATTLE, WA 98125-7506
(206) 715-5350
Mailing address
10502 11TH AVE NE, SEATTLE, WA 98125-7506
(206) 715-5350
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60035233
WA
Other
Enumeration date
04/30/2009
Last updated
08/17/2009
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