Individual
DR. MITCHELL B. SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
510 BROADHOLLOW RD, SUITE 130, MELVILLE, NY 11747-3671
(631) 271-1522
(631) 271-1593
Mailing address
510 BROADHOLLOW RD, SUITE 130, MELVILLE, NY 11747-3671
(631) 271-1522
(631) 271-1593
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
034757
NY
Other
Enumeration date
04/05/2010
Last updated
04/05/2010
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