Individual
JOSEPH SHAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
25 MCCABE DR STE 202, RENO, NV 89511-5991
(775) 560-0130
Mailing address
25 MCCABE DR STE 202, RENO, NV 89511-5991
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4583
NV
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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