PETER D SHAW

SAN DIEGO, CA
NPI1407875131
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  28088)
Enumeration Date2006-07-19
Last Update Date2007-07-08
Business Address
Dr. PETER D SHAW D.D.S.
315 WALNUT AVE
SAN DIEGO, CA 92103-4904
Phone number: 619-297-2954
Mailing Address
Dr. PETER D SHAW D.D.S.
315 WALNUT AVE
SAN DIEGO, CA 92103-4904
Phone number: