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Scott Gallagher Shaw, DDS Valid NPI

Individual provider · General Practice Dentistry · Marysville, WA

NPI
1992930226
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
DE 60035235 (WA)
Sex
Male
Sole proprietor
Yes
Enumerated
2009-05-15
Last updated
2009-05-15
Practice location
2704 171st Pl Ne
Marysville, WA 98271
(206) 769-0903

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