Individual
DR. HOLLY SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
356 W 18TH ST, NEW YORK, NY 10011-4401
(212) 271-7200
Mailing address
356 W 18TH ST, NEW YORK, NY 10011-4401
(212) 271-7200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
056935
NY
122300000X
Dentist
10656
CT
Other
Enumeration date
12/13/2011
Last updated
04/18/2016
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