Individual
MR. TROY R. SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS, PC
Contact information
Practice address
1300 S RESERVE ST STE C, MISSOULA, MT 59801-4704
(406) 327-0777
(406) 327-8611
Mailing address
1300 S RESERVE ST STE C, MISSOULA, MT 59801-4704
(406) 327-0777
(406) 327-8611
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1974
MT
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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