DEWAYNE S SHAW

FOREST PARK, GA
NPI1497822472
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: GA  DN013039)
Enumeration Date2006-11-29
Last Update Date2007-07-09
Business Address
Dr. DEWAYNE S SHAW DDS
4458 JONESBORO RD
FOREST PARK, GA 30297-4314
Phone number: 678-904-5665
Mailing Address
Dr. DEWAYNE S SHAW DDS
4458 JONESBORO RD
FOREST PARK, GA 30297-4314
Phone number: