Individual
DR. LARRY JAMES SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
315 N BROAD ST, WINDER, GA 30680-2156
(770) 867-9451
(770) 867-0951
Mailing address
315 N BROAD ST, WINDER, GA 30680-2156
(770) 867-9451
(770) 867-0951
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN008451
GA
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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