Individual
DR. BRUCE MICHAEL SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1111 LINCOLN RD., SUITE 740, MIAMI BEACH, FL 33139
(305) 532-5044
(305) 531-1011
Mailing address
1111 LINCOLN RD., SUITE 740, MIAMI BEACH, FL 33139
(305) 532-5044
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN7419
FL
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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