Individual
DR. NATHANAEL STEPHEN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5000 HIGHWAY 49 SOUTH, HARRISBURG, NC 28075-8465
(704) 455-3333
Mailing address
5000 HIGHWAY 49 SOUTH, HARRISBURG, NC 28075-8465
(704) 455-3333
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9171
NC
Other
Enumeration date
06/13/2011
Last updated
08/24/2016
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