Individual
DAN F SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4305 76TH ST NE, MARYSVILLE, WA 98270
(360) 653-4114
(360) 658-9597
Mailing address
4305 76TH ST NE, MARYSVILLE, WA 98270
(360) 653-4114
(360) 658-9597
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00004984
WA
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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