Individual
DR. DIANA TRANG SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2603 VINEWOOD LN, PUEBLO, CO 81005-3370
(719) 564-6464
Mailing address
897 SAN ANTONIO PL, COLORADO SPRINGS, CO 80906-4906
(906) 869-3292
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00204311
CO
Other
Enumeration date
03/16/2020
Last updated
07/13/2020
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