| NPI | 1265535652 |
|---|---|
| Other Name | GARY R SHAW DDS |
| Entity Type | Organization |
| Authorized Contact | GARY R SHAW Dentist Owner 253-565-4474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE00006436) |
| Additional Taxonomies | 122300000X Dentist (Licence: UT 1431549922) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2014-10-08 |