Individual
WESLEY MITCHELL SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1624 TATE BLVD SE, HICKORY, NC 28602-4244
(828) 267-6800
Mailing address
1624 TATE BLVD SE, HICKORY, NC 28602-4244
(828) 267-6800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12754
NC
Other
Enumeration date
05/28/2022
Last updated
05/28/2022
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