Individual
ALIESHA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
26 SOUTH 2000 EAST, 5900, SALT LAKE CITY, UT 84116
(801) 581-8951
Mailing address
26 SOUTH 2000 EAST, 5900 DENTAL EDUCATION, SALT LAKE CITY, UT 84116
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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