Individual
DR. BEAU JOSEPH SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
36000 SHOEMAKER LANE, SUITE 1051, FORT CAVAZOS, TX 76544-5054
(254) 287-2705
Mailing address
US DENTAC HEALTH ACTIVITY FORT CAVAZOS, 36000 SHOEMAKER LANE, SUITE 1051, FORT CAVAZOS, TX 76544-5054
(254) 287-2705
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6954
OK
Other
Enumeration date
07/19/2017
Last updated
06/13/2023
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