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1104349182
DANIEL J SHAW
COEUR D ALENE, ID
NPI
1104349182
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ID D-4867)
Enumeration Date
2017-07-20
Last Update Date
2017-07-20
Business Address
Dr. DANIEL J SHAW DDS
943 W IRONWOOD DR STE 200
COEUR D ALENE, ID 83814-4904
Phone number: 855-433-6825
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Mailing Address
Dr. DANIEL J SHAW DDS
6950 NE CAMPUS WAY
HILLSBORO, OR 97124-5611
Phone number: 503-433-2503
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