Individual
DR. TYLER C SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1245 CAPITOL ST STE 111-S, OGDEN, UT 84401-2893
(801) 394-1289
(801) 394-8397
Mailing address
1245 CAPITOL ST STE 111-S, OGDEN, UT 84401-2893
(801) 394-1289
(801) 394-8397
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
308512
UT
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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