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1407875131
PETER D SHAW
SAN DIEGO, CA
NPI
1407875131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 28088)
Enumeration Date
2006-07-19
Last Update Date
2007-07-08
Business Address
Dr. PETER D SHAW D.D.S.
315 WALNUT AVE
SAN DIEGO, CA 92103-4904
Phone number: 619-297-2954
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Mailing Address
Dr. PETER D SHAW D.D.S.
315 WALNUT AVE
SAN DIEGO, CA 92103-4904
Phone number:
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