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1679594113
MICHAEL P. SHAW
MODESTO, CA
NPI
1679594113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0106X Dentist, Oral and Maxillofacial Pathology
(Licence: CA DW035996)
Enumeration Date
2006-07-21
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL P. SHAW DDS
2020 STANDIFORD AVE STE B
MODESTO, CA 95350-6530
Phone number: 209-525-9339
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Mailing Address
Dr. MICHAEL P. SHAW DDS
222 MEMORY LN
TURLOCK, CA 95382-7272
Phone number: 209-667-9339
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