Individual
DR. JENNIFER SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
11700 MUKILTEO SPEEDWAY, #502, MUKILTEO, WA 98275-5432
(425) 290-5573
Mailing address
11700 MUKILTEO SPEEDWAY, MUKILTEO, WA 98275-5432
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019025522
IL
Other
Enumeration date
04/17/2007
Last updated
09/04/2014
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