Individual
DR. CHUNGLING SHAAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4055 EVERGREEN VILLAGE SQ STE 240, SAN JOSE, CA 95135-1750
(408) 223-9118
(408) 223-9228
Mailing address
4055 EVERGREEN VILLAGE SQ STE 240, SAN JOSE, CA 95135-1750
(408) 223-9118
(408) 223-9228
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48995
CA
1223G0001X
General Practice Dentistry
51466
CA
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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