Individual
MRS. CATHY BERRY SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3585 WENDLETON LN, BEAVERCREEK, OH 45432-2753
(937) 426-8083
Mailing address
3353 STUTSMAN RD, BELLBROOK, OH 45305-9792
(937) 912-5117
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30.019277
OH
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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