Individual
DR. MICHAEL P. SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2020 STANDIFORD AVE STE B, MODESTO, CA 95350-6530
(209) 525-9339
(209) 525-9366
Mailing address
222 MEMORY LN, TURLOCK, CA 95382-7272
(209) 667-9339
(209) 664-0505
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
DW035996
CA
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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