Individual
RYAN SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1600 PACIFIC AVE STE 1, NATRONA HEIGHTS, PA 15065-2138
(724) 224-0790
(724) 224-2136
Mailing address
1600 PACIFIC AVE STE 1, NATRONA HEIGHTS, PA 15065-2138
(724) 224-0790
(724) 224-2136
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS037821
PA
Other
Enumeration date
01/05/2010
Last updated
01/26/2019
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