Individual
DR. DOUGLAS ROBERT SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3303 N CENTRAL EXPY STE 250, PLANO, TX 75023-6912
(801) 230-4643
Mailing address
309 SUNCREEK DR, ALLEN, TX 75013-2835
(801) 230-4643
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30541
TX
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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