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1053329946
ALLEN JOHN SHAW
ATLANTA, GA
NPI
1053329946
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: GA 6373)
Enumeration Date
2006-08-04
Last Update Date
2007-07-08
Business Address
Dr. ALLEN JOHN SHAW DDS
1610 LAVISTA RD NE
ATLANTA, GA 30329
Phone number: 404-636-4171
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Mailing Address
Dr. ALLEN JOHN SHAW DDS
1610 LAVISTA RD NE
ATLANTA, GA 30329
Phone number: 404-636-4171
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