Individual
DR. SCOTT GALLAGHER SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2704 171ST PL NE, MARYSVILLE, WA 98271
(206) 769-0903
Mailing address
3372 COLUMBUS LN, ANN ARBOR, MI 48103-2788
(206) 769-0903
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE 60035235
WA
Other
Enumeration date
05/15/2009
Last updated
05/15/2009
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