Individual
DR. MICHAEL SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1500 HORIZON DR STE 104, CHALFONT, PA 18914-3966
(215) 997-9980
Mailing address
841 JACKSON ST, LANSDALE, PA 19446-5262
(215) 285-1174
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS042712
PA
Other
Enumeration date
06/23/2020
Last updated
06/29/2020
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