Individual
DR. ALAN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
18800 MAIN ST STE 205, HUNTINGTON BEACH, CA 92648-1718
(714) 841-4954
(714) 841-4964
Mailing address
18800 MAIN ST STE 205, HUNTINGTON BEACH, CA 92648-1718
(714) 841-4954
(714) 841-4964
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
150844
NC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
62391
CA
Other
Enumeration date
06/30/2011
Last updated
10/10/2018
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