Individual
DR. CONNOR SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
631 N CHURCH ST, SPARTANBURG, SC 29303-3046
(864) 308-1355
Mailing address
201 N LIBERTY ST, SPARTANBURG, SC 29302-1103
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10563
SC
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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