Organization
ROBERT R. SHAW D.M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE L RHOADS (OFFICE ADMIN)
(509) 747-8779
Entity
Organization
Contact information
Practice address
2700 S SOUTHEAST BLVD, SUITE 101, SPOKANE, WA 99223-4984
(509) 747-8779
Mailing address
2700 S SOUTHEAST BLVD, SUITE 101, SPOKANE, WA 99223-4984
(509) 747-8779
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5617
WA
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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