TYLER G SHAW

TWIN FALLS, ID
NPI1184884371
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: ID  D-4139)
Additional Taxonomies122300000X Dentist
(Licence: MT  2366)
Enumeration Date2008-06-11
Last Update Date2015-05-19
Business Address
Dr. TYLER G SHAW DDS
452 CHENEY DRIVE WEST SUITE 150
TWIN FALLS, ID 83301
Phone number: 208-734-3578
Mailing Address
Dr. TYLER G SHAW DDS
6950 NE CAMPUS WAY
HILLSBORO, OR 97124-5611
Phone number:
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