Individual
DR. DANIEL WAYNE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7373 FRANCE AVE SO, SUITE 402, EDINA, MN 55435-4598
(952) 831-4400
(952) 893-3041
Mailing address
6060 CLEARWATER DRIVE, SUITE 210, MINNETONKA, MN 55343-9468
(952) 932-0920
(952) 932-0929
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7967
MN
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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