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1497822472
DEWAYNE S SHAW
FOREST PARK, GA
NPI
1497822472
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA DN013039)
Enumeration Date
2006-11-29
Last Update Date
2007-07-09
Business Address
Dr. DEWAYNE S SHAW DDS
4458 JONESBORO RD
FOREST PARK, GA 30297-4314
Phone number: 678-904-5665
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Mailing Address
Dr. DEWAYNE S SHAW DDS
4458 JONESBORO RD
FOREST PARK, GA 30297-4314
Phone number:
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