Dan F Shaw, DMD Valid NPI

Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · Marysville, WA

NPI

1356654404

Type

Individual (Type 1)

Primary specialty

Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223X0400X

License number

DE00004984 (WA)

Sex

Male

Sole proprietor

No

Enumerated

2010-07-19

Last updated

2010-07-19