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1326561689
BEAU JOSEPH SHAW
FORT CAVAZOS, TX
NPI
1326561689
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OK 6954)
Enumeration Date
2017-07-19
Last Update Date
2023-06-13
Business Address
Dr. BEAU JOSEPH SHAW DDS
36000 SHOEMAKER LANE, SUITE 1051
FORT CAVAZOS, TX 76544-5054
Phone number: 254-287-2705
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Mailing Address
Dr. BEAU JOSEPH SHAW DDS
US DENTAC HEALTH ACTIVITY FORT CAVAZOS 36000 SHOEMAKER LANE, SUITE 1051
FORT CAVAZOS, TX 76544-5054
Phone number: 254-287-2705
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