Individual
DR. MARILYN KAYE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
106 LOTTIE LN, FAIRHOPE, AL 36532-2995
(251) 928-2727
Mailing address
106 LOTTIE LN, FAIRHOPE, AL 36532-2995
(251) 928-2727
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3969
AL
Other
Enumeration date
08/01/2006
Last updated
07/09/2007
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