Individual
CHRISTINA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5114 BALCONES WOODS DR, SUITE 308, AUSTIN, TX 78759-5273
(512) 346-1900
(512) 346-2272
Mailing address
5114 BALCONES WOODS DR, SUITE 308, AUSTIN, TX 78759-5273
(512) 346-1900
(512) 346-2272
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30017
TX
Other
Enumeration date
07/10/2014
Last updated
04/01/2015
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