Organization
SHAW DENTAL, LLC
Active
Other names
Mindy Shaw, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINDY J. SHAW DDS (DENTIST)
(907) 789-0619
Entity
Organization
Contact information
Practice address
2247 JORDAN AVE, JUNEAU, AK 99801-8050
(907) 789-0619
(907) 789-7004
Mailing address
2247 JORDAN AVE, JUNEAU, AK 99801-8050
(907) 789-0619
(907) 789-7004
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1341
AK
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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