Daniel Robert Shaw, DDS Valid NPI
Individual provider · General Practice Dentistry · Mission Viejo, CA
- NPI
- 1952777096
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 64692 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2015-08-12
- Last updated
- 2015-08-12
Practice location
25522 Marguerite Pkwy Ste 100
Mission Viejo, CA 92692-2920
(714) 801-4119